Provider Demographics
NPI:1093948721
Name:LARIMER, CATHERINE REYNOLDS
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:REYNOLDS
Last Name:LARIMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 LUTHER FOWLER RD
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-8399
Mailing Address - Country:US
Mailing Address - Phone:850-995-4235
Mailing Address - Fax:
Practice Address - Street 1:3801 LUTHER FOWLER RD
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-8399
Practice Address - Country:US
Practice Address - Phone:850-995-4235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker