MEDICARE: KATHERINE DIBARTOLOME

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	231H00000X	Audiologist	2325	TN
2	231H00000X	Audiologist	4055	CA

General Provider Information

NPI Number	:	1649795204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE DIBARTOLOME

Provider Business Mailing Address
First Line	:	1790 MILL GLEN CV
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-1611
Country	:	US
Telephone Number	:	714-366-9226
Fax Number	:

Provider Business Practice Location Address
First Line	:	6263 POPLAR AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4701
Country	:	US
Telephone Number	:	714-366-9226
Fax Number	:

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

Provider Enumeration Date	:	08/04/2017
Last Update Date	:	05/20/2026

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Directions to “ KATHERINE DIBARTOLOME ” Practice Location

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