IndividualActive
Glenys Johnson, RD, LD
NPI 1700972460 · Pediatric Nutrition Registered Dietitian · Dallas, TX
Provider details
- NPI number
- 1700972460
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DT05235 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1935 Motor Street
Clinical Nutrition
Dallas, TX 75235
Phone: (214) 456-2182
Fax: (214) 456-6287
Approximate (ZIP-level) locationGet directions
Mailing address
1248 Stevens Ridge Drive
Dallas, TX 75211
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.