Southall, Stephanie Nicole

Southall, Stephanie Nicole is an sole proprietor health care provider with primary practice located at 1353 N Westmoreland Rd Bldg F , Dallas TX 75211-1655. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Southall, Stephanie Nicole can be contacted via phone (214) 333-7091.

Contact Information

Primary practice address
1353 N Westmoreland Rd Bldg F Dallas TX 75211-1655
Phone: (214) 333-7091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT80516 Texas
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT80516 Texas

Profile Details

NPI number 1932390275
LBN Legal business name Southall, Stephanie Nicole
Credentials RD, LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2007
Last updated Jan 16th, 2009 - about 15 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

Popular Providers