Provider Demographics
NPI:1306146832
Name:HOWARD, SUSANNE MARIE (RD)
Entity type:Individual
Prefix:MRS
First Name:SUSANNE
Middle Name:MARIE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5466 PRESTON CT
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-1632
Mailing Address - Country:US
Mailing Address - Phone:925-408-2694
Mailing Address - Fax:
Practice Address - Street 1:5466 PRESTON CT
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-1632
Practice Address - Country:US
Practice Address - Phone:925-408-2694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered