Provider Demographics
NPI:1629564737
Name:BADGER-RODRIGUEZ, CATHERINE (CLC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BADGER-RODRIGUEZ
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 ASHEFORD CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2354
Mailing Address - Country:US
Mailing Address - Phone:615-984-8840
Mailing Address - Fax:
Practice Address - Street 1:417 ASHEFORD CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2354
Practice Address - Country:US
Practice Address - Phone:615-984-8840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN