Doctor Name: | JODY HALOUSKA |
NPI Number: | 1114372992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1014180 |
Business Practice Address: | 1721 E 19th Ave Denver, CO - 802181251 |
Business Phone Number: | 3038396416 |
Business Fax Number: | |
Mailing Address: | 11222 Gray St, WESTMINSTER |
State: | CO |
Postal Code: | 800206814 |
Phone Number: | 3038279398 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2016 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1014180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |