MEDICARE: MS. LEA R CATTAN LMHC

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	000703	NY

General Provider Information

NPI Number	:	1871751016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEA R CATTAN LMHC

Provider Business Mailing Address
First Line	:	594 BROADWAY
Second Line	:	SUITE1213
City	:	NEW YORK
State	:	NY
Zip	:	10012-3233
Country	:	US
Telephone Number	:	646-422-9880
Fax Number	:

Provider Business Practice Location Address
First Line	:	594 BROADWAY
Second Line	:	SUITE1213
City	:	NEW YORK
State	:	NY
Zip	:	10012-3233
Country	:	US
Telephone Number	:	646-422-9880
Fax Number	:

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

Provider Enumeration Date	:	05/23/2008
Last Update Date	:	05/23/2008

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