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NPI Code Detail

MEDICARE: SHIRLEY CATHEY

MEDICARE: SHIRLEY CATHEY
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
1175T00000XPeer Specialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174022735
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY CATHEY
Provider Business Mailing Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-496-3705
Fax Number :
Provider Business Practice Location Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-496-3705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2018
Last Update Date : 06/15/2026

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Directions to “ SHIRLEY CATHEY ” Practice Location

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