Maxson, Stephanie Lynn

Maxson, Stephanie Lynn is an individual health care provider with primary practice located at 1935 Medical District Dr Clinical Nutrition, Dallas TX 75235-7701. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Maxson, Stephanie Lynn can be contacted via phone (214) 456-5698.

Contact Information

Primary practice address
1935 Medical District Dr Clinical Nutrition Dallas TX 75235-7701
Phone: (214) 456-5698
Fax: (214) 456-6287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT80967 Texas

Profile Details

NPI number 1851544068
LBN Legal business name Maxson, Stephanie Lynn
Credentials MS, RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2008
Last updated Oct 31st, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851544068 NPPES
Other 00983946 REGISTERED DIETITIAN
Other DT80967 REGISTERED DIETITIAN

Popular Providers