Individual provider · Type 1 NPI

Susan K. Phillip, NDTR

Registered Dietetic Technician · Dorchester, MA

NPI number 1225592736 Active

Practice location

67 Glendale St
Dorchester, MA 02125-2404

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist 133NN1002XNone listed
Health Educator 174H00000XNone listed
Registered Dietetic Technician Primary 136A00000X1018812

Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…

About NPI 1225592736

Susan K. Phillip, NDTR's National Provider Identifier is 1225592736, issued on Jan 29, 2019. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Dorchester, MA. The record was last updated on Mar 18, 2019.