Doctor Name: | AYN L. BERTHIAUME |
NPI Number: | 1508068966 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LDN |
License Number: | 2269 |
Business Practice Address: | 66 Day St Fitchburg, MA - 014204316 |
Business Phone Number: | 9783458501 |
Business Fax Number: | 9783420855 |
Mailing Address: | 66 Day St, FITCHBURG |
State: | MA |
Postal Code: | 014204316 |
Phone Number: | 9783458501 |
Fax Number: | 9783420855 |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |