Individual
DR. EVELINA SODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
65 MAIN ST FL 1, WARWICK, NY 10990-1346
(845) 244-0679
Mailing address
3 MILTON CT, HEWITT, NJ 07421-1248
(845) 244-0679
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32WC00564900
LICENSE
NJ
Enumeration date
12/19/2019
Last updated
12/19/2019
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