Provider Demographics
NPI:1427003631
Name:WOOLDRIDGE, DEBORAH (RD, , LDN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:WOOLDRIDGE
Suffix:
Gender:F
Credentials:RD, , LDN
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:KERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:227 CLIFFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3635
Mailing Address - Country:US
Mailing Address - Phone:412-826-1670
Mailing Address - Fax:412-469-7163
Practice Address - Street 1:565 COAL VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-0119
Practice Address - Country:US
Practice Address - Phone:412-469-5042
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003180133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered