| Doctor Name: | MS. JOANN SIMON |
| NPI Number: | 1255442166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LIC.AC., RD, LDN |
| License Number: | 1980 |
| Business Practice Address: | 524 Boston Post Rd Wayland, MA - 017781833 |
| Business Phone Number: | 5083584900 |
| Business Fax Number: | |
| Mailing Address: | 4 Evergreen Cir, WESTFORD |
| State: | MA |
| Postal Code: | 018862531 |
| Phone Number: | 6174706205 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 02/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1980 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |