Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLINTON HAROLD WATTENBERG, RD
Active Sole ProprietorRegistered Dietitian · ITHACA, NY
Registration Details
- NPI Number
- 1942580501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2011 (14.673063552655 yrs)
- Last Updated
- Aug 26, 2011
- Licenses
-
1044495 (NY)1044495 (NY)1044495 (NY)1044495 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
949 E STATE STITHACA, NY, 148506158Browse NY providers · Browse ZIP 14850
- Phone
- 6072279344
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Pediatric Nutrition
- Additional Specialty
- Metabolic Nutrition
- Additional Specialty
- Student (Health Education/Training)
Other Registered Dietitian Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. NANCY JAMISON PECKENPAUGH | MSED RD CDN CDE | 1063535391 |
| DEBRA SIEGERT | MSED,RD,CSR,CDN,CDE | 1548442221 |
| MS. CYNTHIA ANN MILNER | RD, MSED, CDN | 1891973509 |
| MICHELE WILBUR | R.D. | 1396918702 |
| DR. SUSAN EDITH TRAVIS | PH.D. | 1649427261 |
| MS. MYRA J BERKOWITZ | MNS, RD, CDN | 1508016650 |
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.