Provider Demographics
NPI:1891183174
Name:KIRKLAND, CATHERINE DENISE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:DENISE
Last Name:KIRKLAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BEAUTIFULLY
Other - Middle Name:BROKEN
Other - Last Name:COUNSELING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2670 MEMORIAL BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-5134
Mailing Address - Country:US
Mailing Address - Phone:615-332-4389
Mailing Address - Fax:
Practice Address - Street 1:2670 MEMORIAL BLVD STE F
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-5134
Practice Address - Country:US
Practice Address - Phone:615-332-4389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17151101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral