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NPI Code Detail

MEDICARE: CATHERINE MAE SMITH

MEDICARE: CATHERINE MAE SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1114850195
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE MAE SMITH
Provider Business Mailing Address
First Line : 288 WESTWOOD DR
Second Line :
City : SPARTA
State : TN
Zip : 38583
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1535 N MOUNT JULIET RD
Second Line :
City : MT JULIET
State : TN
Zip : 37122-3315
Country : US
Telephone Number : 615-560-6622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ CATHERINE MAE SMITH ” Practice Location

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