Provider Demographics
NPI:1477001329
Name:KATSNELSON, ELLA (MS RD LDN)
Entity Type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:KATSNELSON
Suffix:
Gender:F
Credentials:MS RD LDN
Other - Prefix:
Other - First Name:ELLA
Other - Middle Name:
Other - Last Name:SHENBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS RD LDN
Mailing Address - Street 1:252 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4459
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:252 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4459
Practice Address - Country:US
Practice Address - Phone:215-348-2983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN002451133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered