Provider Demographics
NPI:1932281318
Name:HALPERN, BARBARA (RD)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:HALPERN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3277 NE CATAMARAN TER
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-4270
Mailing Address - Country:US
Mailing Address - Phone:772-418-8527
Mailing Address - Fax:530-733-2096
Practice Address - Street 1:3277 NE CATAMARAN TER
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4270
Practice Address - Country:US
Practice Address - Phone:772-418-8527
Practice Address - Fax:530-733-2096
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 4246133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ052385Medicare ID - Type UnspecifiedMEDICARE ID NUMBER