Doctor Name: | MARJORIE D MAXWELL |
NPI Number: | 1407131519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 2001025981 |
Business Practice Address: | 1027 Bellevue Ave Suite 107 Saint Louis, MO - 631171851 |
Business Phone Number: | 3148513307 |
Business Fax Number: | 3146477967 |
Mailing Address: | Po Box 23340, SAINT LOUIS |
State: | MO |
Postal Code: | 631563340 |
Phone Number: | 3148513307 |
Fax Number: | 3146477967 |
NPI Enumeration Date: | 10/20/2011 |
NPI Last Update Date: | 10/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2001025981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |