Provider Demographics
NPI:1831503135
Name:CHATEAU, CASSY
Entity type:Individual
Prefix:MRS
First Name:CASSY
Middle Name:
Last Name:CHATEAU
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 1:6733 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:JOINT BASE LEWIS MCCHORD
Mailing Address - State:WA
Mailing Address - Zip Code:98433-1211
Mailing Address - Country:US
Mailing Address - Phone:253-732-0176
Mailing Address - Fax:
Practice Address - Street 1:6733 SYCAMORE LN
Practice Address - Street 2:
Practice Address - City:JOINT BASE LEWIS MCCHORD
Practice Address - State:WA
Practice Address - Zip Code:98433-1211
Practice Address - Country:US
Practice Address - Phone:253-732-0176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst