Provider Demographics
NPI:1255435418
Name:LAWHEAD, CATHERINE ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANN
Last Name:LAWHEAD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 381344
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-1344
Mailing Address - Country:US
Mailing Address - Phone:901-496-8149
Mailing Address - Fax:901-414-1711
Practice Address - Street 1:4646 POPLAR AVE
Practice Address - Street 2:#326
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4426
Practice Address - Country:US
Practice Address - Phone:901-496-8149
Practice Address - Fax:901-414-1711
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1917103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
3686843Medicare ID - Type Unspecified