Provider Demographics
NPI:1295953958
Name:WEBB, BETH ANNE (RD)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANNE
Last Name:WEBB
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 1:167 PLAINFIELD BUSH RD
Mailing Address - Street 2:
Mailing Address - City:CUMMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01026-9629
Mailing Address - Country:US
Mailing Address - Phone:413-684-5012
Mailing Address - Fax:
Practice Address - Street 1:167 PLAINFIELD BUSH RD
Practice Address - Street 2:
Practice Address - City:CUMMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01026-9629
Practice Address - Country:US
Practice Address - Phone:413-684-5012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2235133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered