Doctor Name: | SALLY BARINA HALVORSON |
NPI Number: | 1285669648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1412 |
Business Practice Address: | 400 E 3rd St Duluth, MN - 558051951 |
Business Phone Number: | 2187868364 |
Business Fax Number: | |
Mailing Address: | 400 E 3rd St, DULUTH |
State: | MN |
Postal Code: | 558051951 |
Phone Number: | 2187868364 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |