Provider Demographics
NPI:1093955270
Name:MCFADDEN, DOROTHY T (MA, RD, LDN)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:T
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:MA, RD, LDN
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:ANNE
Other - Last Name:TRAVAGLINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, RD, LDN
Mailing Address - Street 1:1736 W HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5656
Mailing Address - Country:US
Mailing Address - Phone:610-628-8798
Mailing Address - Fax:610-628-8432
Practice Address - Street 1:1736 W HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5656
Practice Address - Country:US
Practice Address - Phone:610-628-8798
Practice Address - Fax:610-628-8432
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003011133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered