IndividualActive
Amanda Hagedorn, RD, LD, CLC
NPI 1124882162 · Registered Dietitian · Saint Louis, MO
Provider details
- NPI number
- 1124882162
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD, CLC
- Sex
- Female
- Sole proprietor
- No
- License
- 86038663 (MO)
Mailing address
9511 Hale Dr
Saint Louis, MO 63123-5507
Registry dates
- Enumerated
- 2024-02-09
- Last updated
- 2024-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.