Provider Demographics
NPI:1740819218
Name:CATHERINE HARRISON-RESTELLI MD
Entity type:Organization
Organization Name:CATHERINE HARRISON-RESTELLI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARRISON-RESTELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-377-1764
Mailing Address - Street 1:2324 W JOPPA RD STE 220
Mailing Address - Street 2:
Mailing Address - City:LUTHVLE TIMON
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4618
Mailing Address - Country:US
Mailing Address - Phone:443-377-1764
Mailing Address - Fax:410-583-2949
Practice Address - Street 1:2324 W JOPPA RD STE 220
Practice Address - Street 2:
Practice Address - City:LUTHVLE TIMON
Practice Address - State:MD
Practice Address - Zip Code:21093-4618
Practice Address - Country:US
Practice Address - Phone:443-377-1764
Practice Address - Fax:410-583-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1609042852OtherNPPES