Provider Demographics
NPI:1942241450
Name:SPEIGHTS, CATHERINE J (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:J
Last Name:SPEIGHTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3018 TYRONE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-2281
Mailing Address - Country:US
Mailing Address - Phone:225-921-8260
Mailing Address - Fax:
Practice Address - Street 1:1900 MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-3688
Practice Address - Country:US
Practice Address - Phone:985-795-4180
Practice Address - Fax:985-839-0319
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024420207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1574210Medicaid
LA1574210Medicaid
LAH45586Medicare UPIN