NPI 1639685191

Stephanie Marie Carter, NDTRCDMCFPPCPT

Practitioner Registered Dietetic Technician Southfield, MI

Practice location

Address: 18501 W 10 Mile Rd, Southfield, MI 48075-2663
Phone: (313) 492-8446
Fax: (248) 200-7968

Registered specialties (2)

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 945321 (MI)

Other Dietetic Technician, Registered providers in Michigan →

Dietary Manager

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 202214 (MI)

Other Dietary Manager providers in Michigan →

Registry record

NPI: 1639685191
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2017
Record last updated: 20 Dec 2017

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.