Doctor Name: | MRS. SALLY SIEFERT HOEDEBECKE |
NPI Number: | 1013064666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD, FADA |
License Number: | DT01885 |
Business Practice Address: | 5158 Black Hawk Rd Bldg E1930 Aberdeen Proving Ground, MD - 210105403 |
Business Phone Number: | 4104365388 |
Business Fax Number: | 4104363665 |
Mailing Address: | 1136 Priestford Rd, STREET |
State: | MD |
Postal Code: | 211542005 |
Phone Number: | 4106885312 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT01885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |