Provider Demographics
NPI:1760266290
Name:WORTHINGTON, SARAH (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WORTHINGTON
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-2274
Mailing Address - Country:US
Mailing Address - Phone:303-827-5247
Mailing Address - Fax:
Practice Address - Street 1:150 MONUMENT RD STE 207
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1725
Practice Address - Country:US
Practice Address - Phone:800-484-7720
Practice Address - Fax:800-948-2979
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN007418133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered