Individual
MALLORY SMITH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CNSC, CDE
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-3392
Mailing address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
21901033
PA
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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