Provider Demographics
NPI:1336936582
Name:DEWITT, DALYNN (MSHS, RDN/LD)
Entity type:Individual
Prefix:
First Name:DALYNN
Middle Name:
Last Name:DEWITT
Suffix:
Gender:
Credentials:MSHS, RDN/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10805 RED I RANCH COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:RAYMONDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78580-4573
Mailing Address - Country:US
Mailing Address - Phone:817-501-8135
Mailing Address - Fax:
Practice Address - Street 1:10805 RED I RANCH COUNTY RD
Practice Address - Street 2:
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-4573
Practice Address - Country:US
Practice Address - Phone:817-501-8135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT81220133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered