Provider Demographics
NPI:1376289611
Name:BIRCKEL, DELPHINE
Entity Type:Individual
Prefix:
First Name:DELPHINE
Middle Name:
Last Name:BIRCKEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DELPHINE
Other - Middle Name:
Other - Last Name:BIRCKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NUTRITIONAL THERAPIS
Mailing Address - Street 1:25214 PINEGLEN TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5070
Mailing Address - Country:US
Mailing Address - Phone:845-480-4446
Mailing Address - Fax:
Practice Address - Street 1:25214 PINEGLEN TERRACE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-5070
Practice Address - Country:US
Practice Address - Phone:845-480-4446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach