Provider Demographics
NPI:1992168439
Name:WESTCOTT, EMILIE (RD)
Entity type:Individual
Prefix:
First Name:EMILIE
Middle Name:
Last Name:WESTCOTT
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:EMILIE
Other - Middle Name:
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:ONE CHILDREN'S PLAZA
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404
Mailing Address - Country:US
Mailing Address - Phone:937-641-5543
Mailing Address - Fax:
Practice Address - Street 1:ONE CHILDREN'S PLAZA
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404
Practice Address - Country:US
Practice Address - Phone:937-641-5543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1012233133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered