NPI 1225592736

Susan K Phillip, NDTR

Practitioner Registered Dietetic Technician Dorchester, MA

Practice location

Address: 67 Glendale St, Dorchester, MA 02125-2404
Phone: (617) 233-4950

Registered specialties (3)

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 1018812

Other Dietetic Technician, Registered providers in Massachusetts →

Nutrition Education Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Other Nutritionist providers in Massachusetts →

Health Educator

Other Service Providers Taxonomy 174H00000X

Other Health Educator providers in Massachusetts →

Registry record

NPI: 1225592736
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2019
Record last updated: 18 Mar 2019

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.