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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE NICOLE SOUTHALL, RD, LD

Active Sole Proprietor

STEPHANIE NICOLE SOUTHALL, RD, LD is a Pediatric Nutrition healthcare provider located in DALLAS, Texas. NPI 1932390275 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nutrition · DALLAS, TX

Registration Details

NPI Number
1932390275
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2007 (19.073284532899 yrs)
Last Updated
Jan 16, 2009
Licenses
DT80516 (TX)
DT80516 (TX)
Sole Proprietor
Yes

Practice Information

Address
1353 N WESTMORELAND RD BLDG F
DALLAS, TX, 752111655
Browse TX providers · Browse ZIP 75211
Phone
2143337091
Primary Specialty
Pediatric Nutrition
133VN1004X
Additional Specialty
Pediatric Nutrition

Other Pediatric Nutrition Providers in DALLAS, TX

Name Credential NPI
MISS MARY SUSAN SPEARS RD, CSP, LD 1770694630
MRS. ALLISON MORROW RD/LD 1053416214
ELISABETH HARRIS MS,RD,CSP,LD,CNSC 1912002494
MRS. ELISABETH J WARD M.S., R.D., L.D. 1396840765
MRS. MEGAN HALL RD 1164527511
MRS. ELYSE MARIE CARSON MS RD LD 1396840856
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.