Provider Demographics
NPI:1003981853
Name:GOOD, MATTHEW FRANCIS (RD, LD)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:FRANCIS
Last Name:GOOD
Suffix:
Gender:M
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 FLINTRIDGE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-5244
Mailing Address - Country:US
Mailing Address - Phone:330-318-3915
Mailing Address - Fax:
Practice Address - Street 1:1216 5TH AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1605
Practice Address - Country:US
Practice Address - Phone:330-746-2944
Practice Address - Fax:330-746-3427
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5668133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered