Provider Demographics
NPI:1306486709
Name:DUNLEAVY, ERIN (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:DUNLEAVY
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTHUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17857-1141
Mailing Address - Country:US
Mailing Address - Phone:570-898-6036
Mailing Address - Fax:
Practice Address - Street 1:467 5TH ST
Practice Address - Street 2:
Practice Address - City:NORTHUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17857-1141
Practice Address - Country:US
Practice Address - Phone:570-898-6036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered