Provider Demographics
NPI:1487718466
Name:CATTLE, LIZBETH (MT-BC)
Entity type:Individual
Prefix:
First Name:LIZBETH
Middle Name:
Last Name:CATTLE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 HIGH ST NE APT 8
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3644
Mailing Address - Country:US
Mailing Address - Phone:503-508-4669
Mailing Address - Fax:
Practice Address - Street 1:241 HIGH ST NE APT 8
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3644
Practice Address - Country:US
Practice Address - Phone:503-508-4669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist