Individual
MS. AMANDA GRACE CUMBERLEDGE
Active
Individual
MS. AMANDA GRACE CUMBERLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
917942
REGISTERED DIETITIAN
TX
01
—
DT07132
LICENSED DIETITIAN
TX
Enumeration date
11/06/2007
Last updated
06/30/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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