Provider Demographics
NPI:1487849113
Name:CATON, JUDITH ANNETTE (BA)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:ANNETTE
Last Name:CATON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 BROADLAWN
Mailing Address - Street 2:PO BOX 189
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-1723
Mailing Address - Country:US
Mailing Address - Phone:580-223-4550
Mailing Address - Fax:580-226-6153
Practice Address - Street 1:2 BROADLAWN
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401
Practice Address - Country:US
Practice Address - Phone:580-223-4550
Practice Address - Fax:580-226-6153
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNONE101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)