Provider Demographics
NPI:1588858799
Name:CANUEL, BARBARA L (MPH, RD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:L
Last Name:CANUEL
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SOUTHCOAST HOME CARE SERVICES
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-984-0200
Mailing Address - Fax:508-984-0217
Practice Address - Street 1:200 MILL RD
Practice Address - Street 2:SOUTHCOAST HOME CARE SERVICES
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-5252
Practice Address - Country:US
Practice Address - Phone:508-984-0200
Practice Address - Fax:508-984-0217
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA756133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered