Provider Demographics
NPI:1649572884
Name:NEALE, SONIA B (MS, RDN, CDCES, LMNT)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:B
Last Name:NEALE
Suffix:
Gender:F
Credentials:MS, RDN, CDCES, LMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7511 STEVENS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3775
Mailing Address - Country:US
Mailing Address - Phone:435-770-8790
Mailing Address - Fax:
Practice Address - Street 1:7511 STEVENS RIDGE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3775
Practice Address - Country:US
Practice Address - Phone:435-770-8790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1126133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered