Provider Demographics
NPI:1134435589
Name:CHETTIH, MINDY
Entity type:Individual
Prefix:MS
First Name:MINDY
Middle Name:
Last Name:CHETTIH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 S. BROADWAY
Mailing Address - Street 2:FAMILY SERVICES OF WESTCHESTER
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10475-3164
Mailing Address - Country:US
Mailing Address - Phone:914-964-6767
Mailing Address - Fax:914-964-8282
Practice Address - Street 1:20 S. BROADWAY
Practice Address - Street 2:FAMILY SERVICES OF WESTCHESTER
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10475-3164
Practice Address - Country:US
Practice Address - Phone:914-964-6767
Practice Address - Fax:914-964-8282
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical