Doctor Name: | MS. BECKY J OVERHOLT |
NPI Number: | 1316172026 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CSO, CD |
License Number: | 37001104A |
Business Practice Address: | 200 High Park Ave Goshen, IN - 465264810 |
Business Phone Number: | 5745352868 |
Business Fax Number: | |
Mailing Address: | 200 High Park Avenue, GOSHEN |
State: | IN |
Postal Code: | 465264361 |
Phone Number: | 5745352868 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2009 |
NPI Last Update Date: | 05/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37001104A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |