Provider Demographics
NPI:1477113140
Name:BAUER, CATLIN CADE (MED, EDS)
Entity Type:Individual
Prefix:
First Name:CATLIN
Middle Name:CADE
Last Name:BAUER
Suffix:
Gender:F
Credentials:MED, EDS
Other - Prefix:
Other - First Name:CATLIN
Other - Middle Name:ANN
Other - Last Name:CADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4421 NW 39TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7221
Mailing Address - Country:US
Mailing Address - Phone:352-380-0209
Mailing Address - Fax:
Practice Address - Street 1:4421 NW 39TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7221
Practice Address - Country:US
Practice Address - Phone:352-380-0209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-16
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor