Provider Demographics
NPI:1548412984
Name:SEELIG, RONDA (MS RD LDN)
Entity Type:Individual
Prefix:MS
First Name:RONDA
Middle Name:
Last Name:SEELIG
Suffix:
Gender:F
Credentials:MS RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 GLENCAIRN RD
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-4323
Mailing Address - Country:US
Mailing Address - Phone:304-748-2705
Mailing Address - Fax:304-748-2705
Practice Address - Street 1:404 W MAIN ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2868
Practice Address - Country:US
Practice Address - Phone:724-439-4990
Practice Address - Fax:724-439-4155
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN002005133V00000X
OH2835133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered