Provider Demographics
NPI:1396460457
Name:BELZILE-DAVIDSON, MARIE-ANDREE (RDN, LD)
Entity type:Individual
Prefix:MRS
First Name:MARIE-ANDREE
Middle Name:
Last Name:BELZILE-DAVIDSON
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:MRS
Other - First Name:MARIE
Other - Middle Name:
Other - Last Name:BELZILE-DAVIDSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDN, LD
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-2200
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.09819133V00000X, 133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered