Provider Demographics
NPI:1831418573
Name:CHATT, FAE ANN (MED, CAS)
Entity type:Individual
Prefix:
First Name:FAE
Middle Name:ANN
Last Name:CHATT
Suffix:
Gender:F
Credentials:MED, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:JAY
Mailing Address - State:NY
Mailing Address - Zip Code:12941-0087
Mailing Address - Country:US
Mailing Address - Phone:518-637-3496
Mailing Address - Fax:
Practice Address - Street 1:427 MARGARET ST
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-4751
Practice Address - Country:US
Practice Address - Phone:518-561-6361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No174400000XOther Service ProvidersSpecialist