Healthcare Provider Details

I. General information

NPI: 1497798045
Provider Name (Legal Business Name): BARBARA CATT BA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 HIGHLAND AVE
CARROLLTON KY
41008-8775
US

IV. Provider business mailing address

502 FARRELL DR
COVINGTON KY
41011-3717
US

V. Phone/Fax

Practice location:
  • Phone: 502-732-9331
  • Fax: 502-732-9333
Mailing address:
  • Phone: 859-331-3292
  • Fax: 859-578-2864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0497
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: