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Alicia D Susilla, BS
Registered Dietitian in Longview, Washington
NPI 1154315968

Alicia D Susilla is a Registered Dietitian based in Longview, WA. Alicia D Susilla practices in Longview, WA and has the professional credentials of BS. The NPI Number for Alicia D Susilla is 1154315968 and holds a License No. DI00001601 (Washington).

The current practice location address for Alicia D Susilla is 600 Broadway St, Longview, WA and can be reached out via phone at 360-414-2200 and via fax at 360-414-2210.

Location: 600 Broadway St, Longview, WA, 98632-7154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154315968
Provider Name
Alicia D Susilla
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
600 Broadway St, Longview, WA, 98632-7154
Phone Number
360-414-2200
Fax Number
360-414-2210
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022955 05 OR
8416349 05 WA
institution
Provider Business Practice Location Address Details
Address
600 Broadway St
City
Longview
State
Washington
Zip
98632-3256
Phone Number
360-414-2200
Fax Number
360-414-2210
person
Provider Business Mailing Address Details
Address
600 Broadway St
City
Longview
State
Washington
Zip
98632-3256
Phone Number
360-414-2200
Fax Number
360-414-2210
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
DI00001601 (Washington)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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