Provider Demographics
NPI:1134709702
Name:HARRISON, CATHERINE P (RDN, LD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:P
Last Name:HARRISON
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 COMPASS COVE CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3608
Mailing Address - Country:US
Mailing Address - Phone:832-287-8639
Mailing Address - Fax:
Practice Address - Street 1:1018 COMPASS COVE CIR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3608
Practice Address - Country:US
Practice Address - Phone:832-287-8639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT04476133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered