Provider Demographics
NPI:1619756830
Name:HAUGHT, MARIA ELIZABETH (MDN, RDN, LD)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:HAUGHT
Suffix:
Gender:F
Credentials:MDN, RDN, LD
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:ELIZABETH
Other - Last Name:PLEVRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MDN, RDN, LD
Mailing Address - Street 1:135 PINELAND DR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1319
Mailing Address - Country:US
Mailing Address - Phone:330-807-4816
Mailing Address - Fax:
Practice Address - Street 1:135 PINELAND DR
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1319
Practice Address - Country:US
Practice Address - Phone:330-807-4816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.09375133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered