Provider Demographics
NPI:1962913384
Name:EHLERT, CATHERINE L (BSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:EHLERT
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 S BUFFALO ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-6212
Mailing Address - Country:US
Mailing Address - Phone:716-648-0650
Mailing Address - Fax:716-648-0666
Practice Address - Street 1:97 S BUFFALO ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-6212
Practice Address - Country:US
Practice Address - Phone:716-648-0650
Practice Address - Fax:716-648-0650
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program