MEDICARE: ROBERT A. CATANESE PH.D.

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	103G00000X	Clinical Neuropsychologist	P1361	TN

General Provider Information

NPI Number	:	1417061623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT A. CATANESE PH.D.

Provider Business Mailing Address
First Line	:	2775 EXECUTIVE PARK NW
Second Line	:	SUITE 1
City	:	CLEVELAND
State	:	TN
Zip	:	37312-2723
Country	:	US
Telephone Number	:	423-339-3996
Fax Number	:	423-479-9682

Provider Business Practice Location Address
First Line	:	2775 EXECUTIVE PARK NW
Second Line	:	SUITE 1
City	:	CLEVELAND
State	:	TN
Zip	:	37312-2723
Country	:	US
Telephone Number	:	423-339-3996
Fax Number	:	423-479-9682

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	11/16/2009

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