Provider Demographics
NPI:1427352772
Name:LABARDI, DENISE STREHLOW (RD, MPH, MSW)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:STREHLOW
Last Name:LABARDI
Suffix:
Gender:F
Credentials:RD, MPH, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 ROCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-3652
Mailing Address - Country:US
Mailing Address - Phone:314-580-8713
Mailing Address - Fax:
Practice Address - Street 1:641 ROCHESTER DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-3652
Practice Address - Country:US
Practice Address - Phone:314-580-8713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO104100000X
IL013408133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No104100000XBehavioral Health & Social Service ProvidersSocial Worker