Provider Demographics
NPI:1336344233
Name:OSCARSON, CAITLYN GRAY KERMIT (MS LMFT)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:GRAY KERMIT
Last Name:OSCARSON
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12961 VILLAGE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4158
Mailing Address - Country:US
Mailing Address - Phone:408-641-8006
Mailing Address - Fax:408-841-7575
Practice Address - Street 1:12961 VILLAGE DR
Practice Address - Street 2:SUITE C
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4158
Practice Address - Country:US
Practice Address - Phone:408-641-8006
Practice Address - Fax:408-841-7575
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 51585106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist