Provider Demographics
NPI:1124186689
Name:FRANCIS, JULIE DYCKMAN (RD, LDN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:DYCKMAN
Last Name:FRANCIS
Suffix:
Gender:
Credentials:RD, LDN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:DYCKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:86 CENTER CEMETERY ROAD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:CT
Mailing Address - Zip Code:06281
Mailing Address - Country:US
Mailing Address - Phone:860-634-3546
Mailing Address - Fax:507-473-6251
Practice Address - Street 1:86 CENTER CEMETERY ROAD
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:CT
Practice Address - Zip Code:06281
Practice Address - Country:US
Practice Address - Phone:860-634-3546
Practice Address - Fax:508-473-6251
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2360133V00000X
CTCT2850133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered