Provider Demographics
NPI:1194022632
Name:JOINER, CATHERINE (MS, RD, LDN, CNSC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:JOINER
Suffix:
Gender:F
Credentials:MS, RD, LDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 BATTERY AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4302
Mailing Address - Country:US
Mailing Address - Phone:443-834-6663
Mailing Address - Fax:410-605-7052
Practice Address - Street 1:1280 BATTERY AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-4302
Practice Address - Country:US
Practice Address - Phone:443-834-6663
Practice Address - Fax:410-605-7052
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX2675133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered