Healthcare Provider Details

I. General information

NPI: 1831849645
Provider Name (Legal Business Name): CAITLYN LEE CROSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LOCUST STREET BLG. B, SUITE 6511 BLG. B, SUITE 6511
PITTSBURG PA
15219
US

IV. Provider business mailing address

3600 FORBES AVENUE FORBES TOWER PLAZA LEVEL SUITE 140
PITTSBURG PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-232-5528
  • Fax:
Mailing address:
  • Phone: 412-647-5815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: