IndividualActive
Susan Phillip, NDTR
NPI 1225592736 · Registered Dietetic Technician · Dorchester, MA
Provider details
- NPI number
- 1225592736
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Health Educator174H00000X
Other Service Providers
Practice location
67 Glendale St
Dorchester, MA 02125-2404
Phone: (617) 233-4950
Approximate (ZIP-level) locationGet directions
Mailing address
67 Glendale St
Dorchester, MA 02125-2404
Registry dates
- Enumerated
- 2019-01-29
- Last updated
- 2019-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.