Doctor Name: | MRS. STEPHANIE ANNE THOMPSON |
NPI Number: | 1861561912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.D., C.N.S.D. |
License Number: | |
Business Practice Address: | 2401 W University Ave Dietetics Dept. Muncie, IN - 473033499 |
Business Phone Number: | 7657473273 |
Business Fax Number: | 7657412994 |
Mailing Address: | 1869 N 940 W, PARKER CITY |
State: | IN |
Postal Code: | 473689128 |
Phone Number: | 7654689151 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 05/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
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 |