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Mrs. Shannon Mooney Wickman, RD,LDN,CSOWM
Obesity and Weight Management Nutrition Registered Dietitian in Kennebunk, Maine
NPI 1356423024

Shannon Mooney Wickman is a Obesity and Weight Management Nutrition Registered Dietitian based in Kennebunk, ME and is specialized in Nutrition, Obesity and Weight Management. Shannon Mooney Wickman practices in Kennebunk, ME and has the professional credentials of RD,LDN,CSOWM. The NPI Number for Shannon Mooney Wickman is 1356423024 and holds a License No. 2439 (Maine).

The current practice location address for Shannon Mooney Wickman is 72 Main St, Kennebunk, ME and can be reached out via phone at 207-467-8825 and via fax at 207-467-8811. You can also correspond with Shannon Mooney Wickman through the mailing address at 72 MAIN ST, KENNEBUNK, ME - 04043-7021 (mailing address contact number: 207-467-8825).

Location: 72 Main St, Kennebunk, ME, 04043-7021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356423024
Provider Name
Shannon Mooney Wickman
Credential
RD,LDN,CSOWM
Provider Entity Type
Individual
Gender
Female
Address
72 Main St, Kennebunk, ME, 04043-7021
Phone Number
207-467-8825
Fax Number
207-467-8811
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
72 Main St
City
Kennebunk
State
Maine
Zip
04043-7021
Phone Number
207-467-8825
Fax Number
207-467-8811
person
Provider Business Mailing Address Details
Address
72 Main St
City
Kennebunk
State
Maine
Zip
04043-7021
Phone Number
207-467-8825
Fax Number
207-467-8811
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
DI1082 (Maine)
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.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Obesity and Weight Management
Taxonomy
133VN1201X
License No.
2439 (Massachusetts)
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
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