Individual
MS. MARYBETH JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
21 SCHOOL HOUSE RD STE 14, ORLAND, ME 04472-3966
(207) 752-2341
(855) 752-0261
Mailing address
21 SCHOOL HOUSE RD STE 14, ORLAND, ME 04472-3966
(207) 752-2341
(855) 752-0261
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
D1408
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790901197
NPI
—
01
—
D1408
LICENSE
ME
Enumeration date
04/17/2007
Last updated
01/08/2021
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