Provider Demographics
NPI:1285319731
Name:COLWELL, CATHERINE D
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:D
Last Name:COLWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 GRAND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-1947
Mailing Address - Country:US
Mailing Address - Phone:855-412-1787
Mailing Address - Fax:
Practice Address - Street 1:41 GRAND AVE STE 102
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1947
Practice Address - Country:US
Practice Address - Phone:855-412-1787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator