Individual provider · Type 1 NPI

Alicia D. Susilla, BS

Registered Dietitian · Longview, WA

NPI number 1154315968 Active

Practice location

600 Broadway St
Longview, WA 98632-3256

Fax (360) 414-2210

Mailing address

PO Box 249
Longview, WA 98632-7154

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XDI00001601 (WA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1154315968

Alicia D. Susilla, BS's National Provider Identifier is 1154315968, issued on Sep 7, 2005. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Longview, WA. The record was last updated on Jul 9, 2007.