Provider Demographics
NPI:1982010617
Name:BISORDI, KATHARINE A (MS, MGC, CGC)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:A
Last Name:BISORDI
Suffix:
Gender:F
Credentials:MS, MGC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 W BALTIMORE ST
Mailing Address - Street 2:MSTF 3-14G
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1509
Mailing Address - Country:US
Mailing Address - Phone:410-706-7569
Mailing Address - Fax:410-706-1644
Practice Address - Street 1:305 HOSPITAL DR
Practice Address - Street 2:SUITE 304
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5805
Practice Address - Country:US
Practice Address - Phone:410-553-8128
Practice Address - Fax:410-553-8180
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS