Provider Demographics
NPI:1194052621
Name:VITT, CATHERINE L (RD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:VITT
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:L
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2280 OPITZ BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3362
Mailing Address - Country:US
Mailing Address - Phone:703-878-7610
Mailing Address - Fax:703-878-7614
Practice Address - Street 1:2280 OPITZ BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3362
Practice Address - Country:US
Practice Address - Phone:703-878-7610
Practice Address - Fax:703-878-7614
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered