Provider Demographics
NPI:1578148789
Name:MATHEWS, CATHERINE ABIGAIL (RD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ABIGAIL
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:MATHEWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:3113 W MARSHALL ST APT 408
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4741
Mailing Address - Country:US
Mailing Address - Phone:757-282-8529
Mailing Address - Fax:
Practice Address - Street 1:9109 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1979
Practice Address - Country:US
Practice Address - Phone:804-827-0045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86105682133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered