| Doctor Name: | MRS. SHELLY LYNN CLYDE |
| NPI Number: | 1073585493 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D, L.D |
| License Number: | DT06316 |
| Business Practice Address: | Hhc 121 General Hospital Box 663 Apo, AP - 96205 |
| Business Phone Number: | 01182279175302 |
| Business Fax Number: | 01182279173251 |
| Mailing Address: | Hhc 121 General Hospital, Box 663 APO |
| State: | AP |
| Postal Code: | 96205 |
| Phone Number: | 01182279175302 |
| Fax Number: | 01182279173251 |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DT06316 |
| 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 |