Individual
SUZANNE HUMMEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
589 SKIPPACK PIKE STE 400, BLUE BELL, PA 19422-2159
(215) 628-4444
Mailing address
1523 CORSLEY CT, MAPLE GLEN, PA 19002-3137
(215) 669-4995
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000297
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103622820
—
PA
Enumeration date
05/11/2015
Last updated
01/28/2020
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