Provider Demographics
NPI:1437424041
Name:GEHRIS, CATHERINE E (RD, LD)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:E
Last Name:GEHRIS
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-5208
Mailing Address - Country:US
Mailing Address - Phone:319-337-4279
Mailing Address - Fax:
Practice Address - Street 1:812 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-5208
Practice Address - Country:US
Practice Address - Phone:319-337-4279
Practice Address - Fax:319-338-4642
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00249133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered