Doctor Name: | BERNADETTE CLARK |
NPI Number: | 1134526353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LDN |
License Number: | DN001432 |
Business Practice Address: | 809 Turnpike Ave Clearfield, PA - 168301232 |
Business Phone Number: | 8147655341 |
Business Fax Number: | 8147682043 |
Mailing Address: | 1411 Pardee Rd, MORRISDALE |
State: | PA |
Postal Code: | 168588333 |
Phone Number: | 8143420676 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2014 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN001432 |
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 |