Provider Demographics
NPI:1861796021
Name:CAVUTO, KRISTIN N (LCSW, IBCLC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:N
Last Name:CAVUTO
Suffix:
Gender:F
Credentials:LCSW, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3526
Mailing Address - Country:US
Mailing Address - Phone:732-767-2897
Mailing Address - Fax:732-767-1210
Practice Address - Street 1:86 JERSEY AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3526
Practice Address - Country:US
Practice Address - Phone:732-767-2897
Practice Address - Fax:732-767-1210
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist