NPI 1578607099

Carolyn Suzanne Johansen, RDCDECD

Practitioner Registered Dietitian Barre, VT

Practice location

Address: 20 S Main St, Barre, VT 05641-4826
Phone: (802) 476-7607
Fax: (802) 244-4122
Mailing address: 19 Windridge Ln, Waterbury, VT 05676-9135

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 074-0000070 (VT)

Other Dietitian, Registered providers in Vermont →

Registry record

NPI: 1578607099
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2007
Record last updated: 9 Jul 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.