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

MRS. STACEY KOEKKOEK, MS RD, LDN, LMHC

Active Sole Proprietor

MRS. STACEY KOEKKOEK, MS RD, LDN, LMHC is a Registered Dietitian healthcare provider located in WAYLAND, Massachusetts. NPI 1982898177 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · WAYLAND, MA

Registration Details

NPI Number
1982898177
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2007 (18.935767957069 yrs)
Last Updated
Apr 4, 2017
License
2606 (MA)
Sole Proprietor
Yes

Practice Information

Address
260 BOSTON POST RD
WAYLAND, MA, 017781889
Browse MA providers · Browse ZIP 01778
Phone
5082761743
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in WAYLAND, MA

Name Credential NPI
MS. JANNA YAMRON M,S,. R.D., L.D.N. 1093901563
CHRISTIANNA A MORAN RD 1407125537
SUSAN MASSAD HSD, RD, CHES 1225458995
CHRISTINE BURKE 1619542743
LAUREN ZUCKER RDN 1447071782
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.