Provider Demographics
NPI:1518907534
Name:HARDIN, CATHRYN LAURA (RD, LDN)
Entity Type:Individual
Prefix:
First Name:CATHRYN
Middle Name:LAURA
Last Name:HARDIN
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:CATHRYN
Other - Middle Name:LAURA
Other - Last Name:SINNITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:838 E WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5277
Mailing Address - Country:US
Mailing Address - Phone:484-221-8865
Mailing Address - Fax:
Practice Address - Street 1:601 8TH ST
Practice Address - Street 2:BMA OF FULLERTON - CKD SERVICES
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-5701
Practice Address - Country:US
Practice Address - Phone:610-266-5811
Practice Address - Fax:610-266-5815
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN002249133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Provider Identifiers
StateIdentifier IDID TypeIssuer
096916ETDMedicare UPIN