Provider Demographics
NPI:1316471881
Name:MEYER, CATHERINE FABIENNE ANNE-MARIE (MA, EDD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:FABIENNE ANNE-MARIE
Last Name:MEYER
Suffix:
Gender:F
Credentials:MA, EDD
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:FABIENNE ANNE-MARIE
Other - Last Name:NABHOLTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, EDD
Mailing Address - Street 1:1009 MAITLAND CENTER COMMONS BLVD # MAITLAND
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7270
Mailing Address - Country:US
Mailing Address - Phone:407-860-6910
Mailing Address - Fax:
Practice Address - Street 1:1009 MAITLAND CENTER COMMONS BLVD # MAITLAND
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7270
Practice Address - Country:US
Practice Address - Phone:407-860-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 12440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health