Catherine Suzanne Dehaillecourt, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0207 Issued in MS

Practice address

90A Clark Blvd.
Tupelo, MS 38804-2801

Phone

(662) 840-0535

Fax

(662) 842-7915

NPI assigned

Feb 27, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1801136932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50811 OLD HIGHWAY 25 S",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388218642",
            "telephone_number": "662-257-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90A CLARK BLVD.",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388042801",
            "telephone_number": "662-840-0535",
            "fax_number": "662-842-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAILLECOURT",
        "first_name": "CATHERINE",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT0207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Day
• Mary Sharee Dean, ACNP-BC
• Tawana Dearing
• Tesha Decanter, BS
• Christopher Hale Decker, MD
• Omar Demachkie
• Stephanie Denton, LPN
• Nivea M Depriest, LMSW
• Abyot Dereje, MD
• Dermatology Center of North Ms PA

• Occupational Therapist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.