Provider Demographics
NPI:1922801505
Name:CAVEN, CHRISTINE ANGELA (MS)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANGELA
Last Name:CAVEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ANGELA
Other - Last Name:CAVEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:8113 RYERS AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-2318
Mailing Address - Country:US
Mailing Address - Phone:267-496-3262
Mailing Address - Fax:267-496-3262
Practice Address - Street 1:9150 MARSHALL ST STE 16
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-2233
Practice Address - Country:US
Practice Address - Phone:267-489-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor