Doctor Name: | MS. KATHLEEN M. REISEN |
NPI Number: | 1669774758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD |
License Number: | 655393 |
Business Practice Address: | 33 Overlook Rd Summit, NJ - 079013570 |
Business Phone Number: | 9085222765 |
Business Fax Number: | |
Mailing Address: | 15 The Cres, MONTCLAIR |
State: | NJ |
Postal Code: | 070422669 |
Phone Number: | 9734644573 |
Fax Number: | |
NPI Enumeration Date: | 11/23/2010 |
NPI Last Update Date: | 11/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 655393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |