MEDICARE: MS. CAITLYN MARIE OLIVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		PA

General Provider Information

NPI Number	:	1871441428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAITLYN MARIE OLIVA

Provider Business Mailing Address
First Line	:	434 CREAM HOLLOW RD
Second Line	:
City	:	EAST FREEDOM
State	:	PA
Zip	:	16637-8215
Country	:	US
Telephone Number	:	412-407-5290
Fax Number	:

Provider Business Practice Location Address
First Line	:	612 PENNSYLVANIA AVE
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-1288
Country	:	US
Telephone Number	:	814-506-8103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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