Provider Demographics
NPI:1528094166
Name:GREENWALD, ASHLI LYNNE (MS RD LDN)
Entity type:Individual
Prefix:MRS
First Name:ASHLI
Middle Name:LYNNE
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:MS RD LDN
Other - Prefix:MISS
Other - First Name:ASHLI
Other - Middle Name:LYNNE
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5116 MORNINGSIDE LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-7939
Mailing Address - Country:US
Mailing Address - Phone:410-750-7216
Mailing Address - Fax:410-550-0650
Practice Address - Street 1:4940 EASTERN AVE
Practice Address - Street 2:JOHNS HOPKINS BAYVIEW MEDICAL CENTER CLINICAL NUTRITION
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2735
Practice Address - Country:US
Practice Address - Phone:410-550-1549
Practice Address - Fax:410-550-0650
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD01644133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered