Individual
SHAWNEE M. COPPERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN/LD
Contact information
Practice address
15 SOUTH MONTGOMERY STREET, LYTLE BEHAVIORAL HEALTH, HOLLIDAYSBURG, PA 16648
(814) 696-3277
(814) 695-5307
Mailing address
532 WALNUT ST, HOLLIDAYSBURG, PA 16648-1530
(814) 931-3363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003422
PA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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