Provider Demographics
NPI:1205469772
Name:SEGGELINK, HOPE CARTER (RD)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:CARTER
Last Name:SEGGELINK
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 1:194 NORTH ST APT 16
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4208
Mailing Address - Country:US
Mailing Address - Phone:817-797-9622
Mailing Address - Fax:
Practice Address - Street 1:163 BAYBERRY CIR UNIT 204
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-5510
Practice Address - Country:US
Practice Address - Phone:817-797-9622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT074.0134213133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered