Cumberledge, Amanda Grace

Cumberledge, Amanda Grace is an individual health care provider with primary practice located at 800 W Randol Mill Rd Clinical Nutrition, Arlington TX 76012-2504. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Cumberledge, Amanda Grace can be contacted via phone (817) 548-6190.

Contact Information

Primary practice address
800 W Randol Mill Rd Clinical Nutrition Arlington TX 76012-2504
Phone: (817) 548-6190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT07132 Texas

Profile Details

NPI number 1194905372
LBN Legal business name Cumberledge, Amanda Grace
Credentials RD, LD, CNSD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Jun 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194905372 NPPES
Texas Other DT07132 LICENSED DIETITIAN
Texas Other 917942 LICENSED DIETITIAN

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