Peterson, Mallory Smith

Peterson, Mallory Smith is an individual health care provider with primary practice located at 1648 Huntingdon Pike , Meadowbrook PA 19046-8001. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Peterson, Mallory Smith can be contacted via phone (215) 938-3392.

Contact Information

Primary practice address
1648 Huntingdon Pike Meadowbrook PA 19046-8001
Phone: (215) 938-3392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 21901033 Pennsylvania

Profile Details

NPI number 1124654322
LBN Legal business name Peterson, Mallory Smith
Credentials RD, LDN, CNSC, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2020
Last updated Mar 19th, 2020 - about 5 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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