Doctor Name: | SUSANNE D'ANGELO-COOLEY |
NPI Number: | 1164460176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | D1336 |
Business Practice Address: | 175 Us Route 1 Scarborough, ME - 040749048 |
Business Phone Number: | 2078857700 |
Business Fax Number: | 2078857701 |
Mailing Address: | 301 Us Route 1, Building C SCARBOROUGH |
State: | ME |
Postal Code: | 040747609 |
Phone Number: | 2073968600 |
Fax Number: | 2073968632 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D1336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |