| Doctor Name: | MS. JACQUELINE DWYER |
| NPI Number: | 1629201462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CDE |
| License Number: | DNOO1179 |
| Business Practice Address: | 211 S 9th St Suite 600 Phila, PA - 191076810 |
| Business Phone Number: | 2159550453 |
| Business Fax Number: | |
| Mailing Address: | 1179 Cleveland Rd, BLUE BELL |
| State: | PA |
| Postal Code: | 194221807 |
| Phone Number: | 4849197480 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DNOO1179 |
| 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 |