Provider Demographics
NPI:1447478052
Name:CAVALIER, EILEEN WHEELER (LMFT)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:WHEELER
Last Name:CAVALIER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8054
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95061-8054
Mailing Address - Country:US
Mailing Address - Phone:831-425-3118
Mailing Address - Fax:
Practice Address - Street 1:5905 SOQUEL DR STE 250
Practice Address - Street 2:
Practice Address - City:SOQUEL
Practice Address - State:CA
Practice Address - Zip Code:95073-2860
Practice Address - Country:US
Practice Address - Phone:831-425-3118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36759106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist