Doctor Name: | MELISSA LYNN SPENCER |
NPI Number: | 1649495516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D.C.D. |
License Number: | 37000253A |
Business Practice Address: | 615 N Michigan St South Bend, IN - 466011033 |
Business Phone Number: | 5746473006 |
Business Fax Number: | |
Mailing Address: | 711 Benton St, MISHAWAKA |
State: | IN |
Postal Code: | 465455947 |
Phone Number: | 5745962145 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37000253A |
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 |