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General NPI Number Information
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NPI Number | 1255435418
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Entity Type | Individual
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Provider Name | CATHERINE ANN LAWHEAD PHD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 4646 POPLAR AVE #326
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City | MEMPHIS
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State | TN
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Zip | 38117-4426
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Country | US
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Telephone | 901-496-8149
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Fax | 901-414-1711
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Provider Business Mailing Address
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Address Line | PO BOX 381344
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City | GERMANTOWN
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State | TN
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Zip | 38183-1344
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Country | US
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Telephone | 901-496-8149
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Fax | 901-414-1711
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P1917
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License Number State | TN
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