Provider Demographics
NPI:1558372946
Name:OPPENHEIM, VALERIE SHOR (RD, LNC)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:SHOR
Last Name:OPPENHEIM
Suffix:
Gender:F
Credentials:RD, LNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 COLERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2931
Mailing Address - Country:US
Mailing Address - Phone:508-540-5637
Mailing Address - Fax:508-540-5638
Practice Address - Street 1:50 COLERIDGE DR
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2931
Practice Address - Country:US
Practice Address - Phone:508-540-5637
Practice Address - Fax:508-540-5638
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA138133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered