Provider Demographics
NPI:1447299136
Name:POPE, CATHERINE TURNER (MS-CCC-A)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:TURNER
Last Name:POPE
Suffix:
Gender:F
Credentials:MS-CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 MAHAN CENTER BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5474
Mailing Address - Country:US
Mailing Address - Phone:850-878-7228
Mailing Address - Fax:850-877-5583
Practice Address - Street 1:1614 MAHAN CENTER BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5474
Practice Address - Country:US
Practice Address - Phone:850-878-7228
Practice Address - Fax:850-877-5583
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY0000430231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS0938Medicare ID - Type UnspecifiedAUDIOLOGIST