Provider Demographics
NPI:1871751016
Name:CATTAN, LEA R (LMHC)
Entity type:Individual
Prefix:MS
First Name:LEA
Middle Name:R
Last Name:CATTAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:594 BROADWAY
Mailing Address - Street 2:SUITE1213
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3233
Mailing Address - Country:US
Mailing Address - Phone:646-422-9880
Mailing Address - Fax:
Practice Address - Street 1:594 BROADWAY
Practice Address - Street 2:SUITE1213
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3233
Practice Address - Country:US
Practice Address - Phone:646-422-9880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000703101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health