Provider Demographics
NPI:1649086034
Name:SCOTT-SAHLER, PATRICIA (RDN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SCOTT-SAHLER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BEAVER TER
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-2926
Mailing Address - Country:US
Mailing Address - Phone:973-986-8339
Mailing Address - Fax:
Practice Address - Street 1:1 BEAVER TER
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-2926
Practice Address - Country:US
Practice Address - Phone:973-986-8339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ86290126133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered