Individual
COURTNEY DANIELLE SPEAKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. R.D. C.D.
Contact information
Practice address
618 W MAIN ST, CHESTERFIELD, IN 46017-1116
(765) 426-9292
Mailing address
618 W MAIN ST, CHESTERFIELD, IN 46017-1116
(765) 426-9292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86010840
IN
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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