Provider Demographics
NPI:1548352230
Name:MATTHEWS, CATHY LYNNE
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:LYNNE
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CATHY
Other - Middle Name:LYNNE
Other - Last Name:MATTHEWS
Other - Suffix:IX
Other - Last Name Type:Other Name
Other - Credentials:LM
Mailing Address - Street 1:4944 MIDNIGHT LANE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235
Mailing Address - Country:US
Mailing Address - Phone:941-351-2102
Mailing Address - Fax:941-351-2102
Practice Address - Street 1:4944 MIDNIGHT LANE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235
Practice Address - Country:US
Practice Address - Phone:941-351-2102
Practice Address - Fax:941-351-2102
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW7175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay