NPI 1013102722

Susan Audrey Stark, MSRDLD

Practitioner Registered Dietitian Pittsburgh, PA

Practice location

Address: 3459 5th Ave, Pittsburgh, PA 15213-3236
Phone: (412) 647-2906
Fax: (412) 647-7839
Mailing address: 200 Lothrop St Scaife Hall Suite S 1105.1, Pittsburgh, PA 15213-2536

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DN 000296 (PA)

Other Dietitian, Registered providers in Pennsylvania →

Registry record

NPI: 1013102722
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2007
Record last updated: 6 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.