| Doctor Name: | MRS. ANTOINETTE RICHARDSON |
| NPI Number: | 1083658017 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD,CDE, LDN |
| License Number: | DN000256 |
| Business Practice Address: | 1014 Meadow View Cir Collegeville, PA - 194263350 |
| Business Phone Number: | 6105392026 |
| Business Fax Number: | 6105392026 |
| Mailing Address: | 1014 Meadow View Cir, COLLEGEVILLE |
| State: | PA |
| Postal Code: | 194263350 |
| Phone Number: | 6105392026 |
| Fax Number: | 6105392026 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | DN000256 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |