Provider Demographics
NPI:1699512244
Name:HARRISON, CAITLIN B (MMFT)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:B
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:B
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2984 SIDNEY ST APT 545
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-5163
Mailing Address - Country:US
Mailing Address - Phone:208-916-0817
Mailing Address - Fax:
Practice Address - Street 1:2617 STREET RD # 282
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2864
Practice Address - Country:US
Practice Address - Phone:484-800-1652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist