Provider Demographics
NPI:1598532939
Name:JOHNSON, BELINDA (CNS)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9841 WASHINGTONIAN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-7350
Mailing Address - Country:US
Mailing Address - Phone:240-720-7797
Mailing Address - Fax:833-941-2314
Practice Address - Street 1:9841 WASHINGTONIAN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-7350
Practice Address - Country:US
Practice Address - Phone:240-720-7797
Practice Address - Fax:833-941-2313
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist