Provider Demographics
NPI:1982036323
Name:HARRISON, CATHERINE MARIA (RD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MARIA
Last Name:HARRISON
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:MARIA
Other - Last Name:GAGLIARDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:439 BURNING TREE RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3103
Mailing Address - Country:US
Mailing Address - Phone:856-905-1525
Mailing Address - Fax:856-216-1652
Practice Address - Street 1:439 BURNING TREE RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3103
Practice Address - Country:US
Practice Address - Phone:856-905-1525
Practice Address - Fax:856-216-1652
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ADA#809015133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered