Doctor Name: | MS. DIANE ELAINE BLACK |
NPI Number: | 1114258357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RD,CDE |
License Number: | 572543 |
Business Practice Address: | 2157 Apperson Dr Salem, VA - 241537235 |
Business Phone Number: | 5407770000 |
Business Fax Number: | |
Mailing Address: | 10102 Edgecombe Pl Ne, BAINBRIDGE ISLAND |
State: | WA |
Postal Code: | 981104334 |
Phone Number: | 4124003204 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2010 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 572543 |
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 |