Provider Demographics
NPI:1780324020
Name:WHITLOW, CATLIN FAYE
Entity type:Individual
Prefix:
First Name:CATLIN
Middle Name:FAYE
Last Name:WHITLOW
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 1:2515 W MARTIN ST APT 110A
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-6484
Mailing Address - Country:US
Mailing Address - Phone:806-202-3994
Mailing Address - Fax:
Practice Address - Street 1:2515 W MARTIN ST APT 110A
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-6484
Practice Address - Country:US
Practice Address - Phone:806-202-3994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician