Individual
MS. STEPHANIE E. MACLEAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
20 LEWIS AVE, GREAT BARRINGTON, MA 01230-1827
(413) 429-8772
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4594-NU-NU
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4594-NU-NU
MASSACHUSETTS BOARD OF REGISTERED DIETITIANS AND NUTRITIONISTS
MA
01
—
86071303
COMISSION OF DIETETICS REGISTRATION
—
Enumeration date
08/13/2018
Last updated
06/24/2025
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