Individual provider · Type 1 NPI
Mickenzie Dougherty, MS, RD, LDN
Registered Dietitian · Media, PA
Practice location
49 Kirk Ln
Media, PA 19063-2137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | None listed |
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 1558012971
Mickenzie Dougherty, MS, RD, LDN's National Provider Identifier is 1558012971, issued on Jan 18, 2022. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Media, PA. The record was last updated on Aug 1, 2025.