Provider Demographics
NPI:1861445595
Name:CATHELL, JOHANNA LYNN (ND)
Entity Type:Individual
Prefix:DR
First Name:JOHANNA
Middle Name:LYNN
Last Name:CATHELL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 NORWICH RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PLAINFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06374-1646
Mailing Address - Country:US
Mailing Address - Phone:860-564-1123
Mailing Address - Fax:860-564-1140
Practice Address - Street 1:137 NORWICH RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PLAINFIELD
Practice Address - State:CT
Practice Address - Zip Code:06374-1646
Practice Address - Country:US
Practice Address - Phone:860-564-1123
Practice Address - Fax:860-564-1140
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000294175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath