Healthcare Provider Details

I. General information

NPI: 1215933049
Provider Name (Legal Business Name): BARBARA JOYCE CRAVEN PHD, RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 14TH ST NW STE 700
WASHINGTON DC
20005-3477
US

IV. Provider business mailing address

10011 WILDERNESS WALK DR
GAITHERSBURG MD
20882-2735
US

V. Phone/Fax

Practice location:
  • Phone: 202-638-0750
  • Fax:
Mailing address:
  • Phone: 301-528-7499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: