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Contact Information

ALICE B CLARK, MS, RD
1748 COUNTRY OAKS LN
THOUSAND OAKS, CA91362-1900
 Phone: 206-898-0453
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Health & Wellness Coach

171400000X
 

Health Educator

174H00000X
 

Nutrition, Education

133NN1002X
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for ALICE B CLARK · (Female)

NPI # 1659090272
Status Active
Credentials MS, RD
Entity Individual
Enumeration date 08/25/2022
Last updated 08/25/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 86035426
  • Other 86035426 ACADEMY OF NUTRITION AND DIETETICS
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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