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Mr. Clinton Harold Wattenberg, RD
Student in an Organized Health Care Education/Training Program in Ithaca, New York
NPI 1942580501

Clinton Harold Wattenberg is a Student in an Organized Health Care Education/Training Program based in Ithaca, NY. Clinton Harold Wattenberg practices in Ithaca, NY and has the professional credentials of RD. The NPI Number for Clinton Harold Wattenberg is 1942580501 and holds a License No. 1044495 (New York).

The current practice location address for Clinton Harold Wattenberg is 949 E State St, Ithaca, NY and can be reached out via phone at 607-227-9344.

Location: 949 E State St, Ithaca, NY, 14850-6158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942580501
Provider Name
Clinton Harold Wattenberg
Credential
RD
Provider Entity Type
Individual
Gender
Male
Address
949 E State St, Ithaca, NY, 14850-6158
Phone Number
607-227-9344
Fax Number
Provider Enumeration Date
08/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
949 E State St
City
Ithaca
State
New York
Zip
14850-6158
Phone Number
607-227-9344
Fax Number
person
Provider Business Mailing Address Details
Address
949 E State St
City
Ithaca
State
New York
Zip
14850-6158
Phone Number
607-227-9344
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
1044495 (New York)
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, Pediatric
Taxonomy
133VN1004X
License No.
1044495 (New York)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
person
Provider's Taxonomy Details 3
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
133VN1006X
License No.
1044495 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1044495 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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