Provider Demographics
NPI:1477721439
Name:SHEEHY, SUSAN GIUDITTA (RD LD)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:GIUDITTA
Last Name:SHEEHY
Suffix:
Gender:F
Credentials:RD LD
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:ELISE
Other - Last Name:GIUDITTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 MCGREGOR ST
Mailing Address - Street 2:CATHOLIC MEDICAL CENTER
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102
Mailing Address - Country:US
Mailing Address - Phone:603-663-6211
Mailing Address - Fax:603-663-6663
Practice Address - Street 1:100 MCGREGOR ST
Practice Address - Street 2:CHOLESTEROL MANAGEMENT CENTER
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102
Practice Address - Country:US
Practice Address - Phone:603-663-6211
Practice Address - Fax:603-663-6663
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHRD720998133V00000X
NHLD41133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered