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Contact Information

DEANNA MOLLICONE, RDN
43902 WOODWARD AVE STE 230
BLOOMFIELD HILLS, MI48302-5022
 Phone: 248-825-1616
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Counselor

101Y00000X
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for DEANNA MOLLICONE · (Female)

NPI Number 1316448178
Status Active
Credentials RDN
Entity Individual
Enumeration date 02/26/2018
Last updated 02/26/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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