Doctor Name: | MS. BETHANY L. FISHER |
NPI Number: | 1043410756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LDN |
License Number: | DN003683 |
Business Practice Address: | 2501 W Lehigh Ave Philadelphia, PA - 191323207 |
Business Phone Number: | 2152270300 |
Business Fax Number: | 2152270302 |
Mailing Address: | 2501 W Lehigh Ave, PHILADELPHIA |
State: | PA |
Postal Code: | 191323207 |
Phone Number: | 2152270300 |
Fax Number: | 2152270302 |
NPI Enumeration Date: | 07/20/2007 |
NPI Last Update Date: | 07/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN003683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |