Doctor Name: | SHAWNEE M. COPPERSMITH |
NPI Number: | 1275540478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LDN/LD |
License Number: | DN003422 |
Business Practice Address: | 15 South Montgomery Street Lytle Behavioral Health Hollidaysburg, PA - 16648 |
Business Phone Number: | 8146963277 |
Business Fax Number: | 8146955307 |
Mailing Address: | 532 Walnut St, HOLLIDAYSBURG |
State: | PA |
Postal Code: | 166481530 |
Phone Number: | 8149313363 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN003422 |
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 |