Provider Demographics
NPI:1316152309
Name:CAUFFIELD, CHRISTINE ANNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANNE
Last Name:CAUFFIELD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 OSCEOLA AVE
Mailing Address - Street 2:APARTMENT 509
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4449
Mailing Address - Country:US
Mailing Address - Phone:407-539-2239
Mailing Address - Fax:
Practice Address - Street 1:690 OSCEOLA AVE
Practice Address - Street 2:APARTMENT 509
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4449
Practice Address - Country:US
Practice Address - Phone:407-539-2239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6095103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist