Provider Demographics
NPI:1669221123
Name:COBBLER, ECATERINA (MS, CD, RYT200)
Entity type:Individual
Prefix:
First Name:ECATERINA
Middle Name:
Last Name:COBBLER
Suffix:
Gender:F
Credentials:MS, CD, RYT200
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12021 LIVINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2243
Mailing Address - Country:US
Mailing Address - Phone:202-459-8665
Mailing Address - Fax:
Practice Address - Street 1:7050 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4415
Practice Address - Country:US
Practice Address - Phone:202-643-0477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education