Provider Demographics
NPI:1164836730
Name:DEATS, CATHY
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:
Last Name:DEATS
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 1:6625 BATTLEFORD DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-3559
Mailing Address - Country:US
Mailing Address - Phone:908-500-2463
Mailing Address - Fax:
Practice Address - Street 1:6625 BATTLEFORD DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-3559
Practice Address - Country:US
Practice Address - Phone:908-500-2463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCB0007901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical