Provider Demographics
NPI:1225247216
Name:LANGENFELD, CAROLYN (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:
Last Name:LANGENFELD
Suffix:
Gender:F
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 1:1665 SMOKERISE DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-4629
Mailing Address - Country:US
Mailing Address - Phone:330-923-0787
Mailing Address - Fax:330-923-0787
Practice Address - Street 1:1665 SMOKERISE DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-4629
Practice Address - Country:US
Practice Address - Phone:330-923-0787
Practice Address - Fax:330-923-0787
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3738133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered