Individual provider · Type 1 NPI

Glenys S. Johnson, RD, LD

Pediatric Nutrition Registered Dietitian · Dallas, TX

NPI number 1700972460 Active

Practice location

1935 Motor Street, Clinical Nutrition
Dallas, TX 75235

Call (214) 456-2182 Map

Fax (214) 456-6287

Mailing address

1248 Stevens Ridge Drive
Dallas, TX 75211

Specialties and licenses

Taxonomy	Code	License
Pediatric Nutrition Registered Dietitian Primary	133VN1004X	DT05235 (TX)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1700972460

Glenys S. Johnson, RD, LD's National Provider Identifier is 1700972460, issued on Oct 4, 2006. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Dallas, TX. The record was last updated on Jul 9, 2007.