Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN CARROLL, RD
Active Sole ProprietorSUSAN CARROLL, RD is a Registered Dietitian healthcare provider located in WEST BOYLSTON, Massachusetts. NPI 1497810600 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · WEST BOYLSTON, MA
Registration Details
- NPI Number
- 1497810600
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2006 (19.60246275977 yrs)
- Last Updated
- Dec 27, 2023
- License
-
217 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
360 W BOYLSTON ST RM 107WEST BOYLSTON, MA, 015832370Browse MA providers · Browse ZIP 01583
- Phone
- 5088541380
- Fax
- 5088541380
- Primary Specialty
-
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.