Doctor Name: | JENNIFER T DIBELLO |
NPI Number: | 1225379332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | LDN00533 |
Business Practice Address: | 146 W River St Suite 11-a Providence, RI - 029042609 |
Business Phone Number: | 4017938770 |
Business Fax Number: | 4017938709 |
Mailing Address: | Po Box 3238, BOSTON |
State: | MA |
Postal Code: | 022413238 |
Phone Number: | 8663342455 |
Fax Number: | 8886147232 |
NPI Enumeration Date: | 03/14/2013 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LDN00533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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 |