Provider Demographics
NPI:1710693387
Name:TERRY, CATHERINE C
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:C
Last Name:TERRY
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:GRADUATE SOCIAL WORK
Mailing Address - Street 2:104 BUCHANAN HALL
Mailing Address - City:NORMAL
Mailing Address - State:AL
Mailing Address - Zip Code:35762
Mailing Address - Country:US
Mailing Address - Phone:205-515-3080
Mailing Address - Fax:
Practice Address - Street 1:GRADUATE SOCIAL WORK
Practice Address - Street 2:104 BUCHANAN HALL
Practice Address - City:NORMAL
Practice Address - State:AL
Practice Address - Zip Code:35762
Practice Address - Country:US
Practice Address - Phone:205-515-3080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty