Provider Demographics
NPI:1497562045
Name:CAITLYN LEE NULL
Entity type:Organization
Organization Name:CAITLYN LEE NULL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CAITLYN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:NULL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-758-5512
Mailing Address - Street 1:2346 POTOMAC AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2743
Mailing Address - Country:US
Mailing Address - Phone:412-758-5512
Mailing Address - Fax:
Practice Address - Street 1:400 MOUNT LEBANON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1503
Practice Address - Country:US
Practice Address - Phone:412-758-5512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty