Healthcare Provider Details

I. General information

NPI: 1780917336
Provider Name (Legal Business Name): CAUFFIELD AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2009
Last Update Date: 09/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1693 MAIN ST SUITE A
SARASOTA FL
34236-5864
US

IV. Provider business mailing address

1693 MAIN ST SUITE A
SARASOTA FL
34236-5864
US

V. Phone/Fax

Practice location:
  • Phone: 941-255-2374
  • Fax: 941-366-0033
Mailing address:
  • Phone: 941-255-2374
  • Fax: 941-366-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY 6095
License Number StateFL

VIII. Authorized Official

Name: DR. CHRISTINE ANNE CAUFFIELD
Title or Position: OWNER
Credential: PSYD
Phone: 941-993-9921