Provider Demographics
NPI:1568901049
Name:STONE, EMMA (RDN, LDN, CEDS)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:RDN, LDN, CEDS
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:BEIDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LDN
Mailing Address - Street 1:36 KRISTINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-7771
Mailing Address - Country:US
Mailing Address - Phone:484-300-3735
Mailing Address - Fax:
Practice Address - Street 1:36 KRISTINE AVE
Practice Address - Street 2:
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512-7771
Practice Address - Country:US
Practice Address - Phone:610-215-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86051470133V00000X
WA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered