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NPI Profile for THERESA A CLARK in ORLANDO, FL.
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Pediatric |
133VN1004X | 71 | Registered Dietitian or Nutrition Professional |
| NPI # | 1013882174 |
|
| Status | Active | |
| Credentials | RDN/LDN, CSP | |
| Entity | Individual | |
| Enumeration date | 10/08/2025 | |
| Last updated | 10/08/2025 - About 8 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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THERESA A CLARK
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THERESA A CLARK, RDN/LDN, CSP