Provider Demographics
NPI:1275073157
Name:CATLETTE, MARTHA PHILLIPS (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:PHILLIPS
Last Name:CATLETTE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 PRATT PLACE RD
Mailing Address - Street 2:PO BOX 304
Mailing Address - City:INVERNESS
Mailing Address - State:MS
Mailing Address - Zip Code:38753-9574
Mailing Address - Country:US
Mailing Address - Phone:662-207-8595
Mailing Address - Fax:
Practice Address - Street 1:64 PRATT PLACE RD
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:MS
Practice Address - Zip Code:38753-9574
Practice Address - Country:US
Practice Address - Phone:662-207-8595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS901945163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health