Doctor Name: | MS. STACIA ANNE CLINTON |
NPI Number: | 1235327453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD. |
License Number: | NU 2590 |
Business Practice Address: | 500 Franklin Village Dr Suite 106 Franklin, MA - 020384017 |
Business Phone Number: | 8607988645 |
Business Fax Number: | |
Mailing Address: | 51 Alfred Dr, TOLLAND |
State: | CT |
Postal Code: | 060843140 |
Phone Number: | 8607988645 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2007 |
NPI Last Update Date: | 10/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | NU 2590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |