Provider Demographics
NPI:1265750434
Name:HOUGH-TELFORD, CATHERINE MARIE (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARIE
Last Name:HOUGH-TELFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-315-7496
Mailing Address - Fax:
Practice Address - Street 1:2470 BLOOMINGDALE AVE STE 223
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-6403
Practice Address - Country:US
Practice Address - Phone:813-689-7139
Practice Address - Fax:813-443-8157
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2025-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME127904208000000X
ALMD.31260208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL175035Medicaid
AL174865Medicaid
AL511-64571OtherBCBS
AL511-64698OtherBCBS