Healthcare Provider Details

I. General information

NPI: 1184545410
Provider Name (Legal Business Name): CATHERINE PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 NEWFIELD AVE
STAMFORD CT
06905-1409
US

IV. Provider business mailing address

7324 BARINGER RD
BATON ROUGE LA
70817-5303
US

V. Phone/Fax

Practice location:
  • Phone: 225-936-6398
  • Fax:
Mailing address:
  • Phone: 225-573-3252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: