Provider Demographics
NPI:1659894715
Name:SCHULMAN, CHELSEA AMANDA (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:AMANDA
Last Name:SCHULMAN
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 1:131 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:CLEMENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-2855
Mailing Address - Country:US
Mailing Address - Phone:609-314-5541
Mailing Address - Fax:
Practice Address - Street 1:1601 CHERRY ST FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1306
Practice Address - Country:US
Practice Address - Phone:609-314-5541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005510133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered