Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER JOHN CLARK, R.D
Active Sole ProprietorTYLER JOHN CLARK, R.D is a Registered Dietitian healthcare provider located in BROCKTON, Massachusetts. NPI 1639492523 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BROCKTON, MA
Registration Details
- NPI Number
- 1639492523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2010 (16.477177952476 yrs)
- Last Updated
- May 6, 2015
- License
-
3061 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
940 BELMONT STFOOD AND NUTRITION SERVICESBROCKTON, MA, 023015596Browse MA providers · Browse ZIP 02301
- Phone
- 7748261439
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER FREITAS CARTER | R.D. | 1659319499 |
| JANICE MAKARCHUK | — | 1316978653 |
| MRS. GAYLE ELAINE PHANEUF | RD | 1407875917 |
| MRS. CATHERINE F. CAHILL | RD | 1801816459 |
| DEBORAH DIORIO | MSRD | 1487665618 |
| MARGARET ROSE POCHAY | RD CDE | 1215025135 |
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.