Provider Demographics
NPI:1821629585
Name:CATO, HARLAN S III
Entity Type:Individual
Prefix:
First Name:HARLAN
Middle Name:S
Last Name:CATO
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20430 W CATAWBA AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-5256
Mailing Address - Country:US
Mailing Address - Phone:704-892-0277
Mailing Address - Fax:704-892-0681
Practice Address - Street 1:20430 W CATAWBA AVE STE 8
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-5256
Practice Address - Country:US
Practice Address - Phone:704-892-0277
Practice Address - Fax:704-892-0681
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC380237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC380OtherHEARING AID SPECIALIST