Provider Demographics
NPI:1699968289
Name:GINSBURG, STEFANIE ALYSE (RD, CEDRD-S)
Entity type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:ALYSE
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:RD, CEDRD-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HOOVER AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2151
Mailing Address - Country:US
Mailing Address - Phone:720-541-8684
Mailing Address - Fax:
Practice Address - Street 1:102 HOOVER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2151
Practice Address - Country:US
Practice Address - Phone:720-541-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ933663133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered