MEDICARE: CATHERINE WHEATON MINCHEY

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
1	101YS0200X	School Counselor	732824	TN

General Provider Information

NPI Number	:	1285521419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE WHEATON MINCHEY

Provider Business Mailing Address
First Line	:	7348 BRADFORD RD
Second Line	:
City	:	PRIMM SPRINGS
State	:	TN
Zip	:	38476-9655
Country	:	US
Telephone Number	:	615-689-4601
Fax Number	:	615-689-4601

Provider Business Practice Location Address
First Line	:	7348 BRADFORD RD
Second Line	:
City	:	PRIMM SPRINGS
State	:	TN
Zip	:	38476-9655
Country	:	US
Telephone Number	:	615-689-4601
Fax Number	:	615-689-4601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	06/20/2025

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Directions to “ CATHERINE WHEATON MINCHEY ” Practice Location

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