Ms. Susan K Phillip, NDTR
Dietetic Technician, Registered in Dorchester, Massachusetts
1225592736- Practice location
- 67 Glendale St, Dorchester, MA 02125-2404
- Phone
- 617-233-4950
- Fax
- —
- Last updated
- March 18, 2019
Susan K Phillip is a Dietetic Technician, Registered based in Dorchester, MA. Susan K Phillip practices in Dorchester, MA and has the professional credentials of NDTR. The NPI Number for Susan K Phillip is 1225592736 and holds a License No. 1018812. The current practice location address for Susan K Phillip is 67 Glendale St, Dorchester, MA 02125-2404 and can be reached out via phone at 617-233-4950.
Provider Profile Details
- NPI Number
- 1225592736
- Provider Name
- Susan K Phillip
- Credential
- NDTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 67 Glendale St, Dorchester, MA 02125-2404
- Phone Number
- 617-233-4950
- Primary Taxonomy
- Dietetic Technician, Registered · 136A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 29, 2019
- Last Update Date
- March 18, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 67 Glendale St
Dorchester, MA 02125-2404 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02125-2404
- Phone Number
- 617-233-4950
Provider Business Mailing Address Details
- Address
- 67 Glendale St
Dorchester, MA 02125-2404 - City
- Dorchester
- State
- MA
- Zip
- 02125-2404
- Phone Number
- 617-233-4950
License Information
- Taxonomy (1)
- Nutritionist, Nutrition, Education · 133NN1002X
- Taxonomy (2)
- Health Educator · 174H00000X
- License Number (3)
- 1018812
- Taxonomy (3)
- Dietetic Technician, Registered · 136A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Susan K Phillip, NDTR?
The NPI number of Ms. Susan K Phillip, NDTR is 1225592736. It was assigned on January 29, 2019 and is currently active in the NPPES registry.
What is the specialty of Ms. Susan K Phillip, NDTR?
Ms. Susan K Phillip, NDTR is registered under the primary taxonomy Dietetic Technician, Registered (code 136A00000X), licensed under license number 1018812.
Where does Ms. Susan K Phillip, NDTR practice?
The practice location is 67 Glendale St, Dorchester, MA 02125-2404. The office can be reached at 617-233-4950 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225592736 directly on the NPPES registry website.