Provider Demographics
NPI:1720699374
Name:MCCLELLAND, MEGAN E (RD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:MCCLELLAND
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 1:180 HIGH PARK LN APT 701
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4171
Mailing Address - Country:US
Mailing Address - Phone:803-280-3634
Mailing Address - Fax:
Practice Address - Street 1:1850A TOWN CENTER PKWY STE 301
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3232
Practice Address - Country:US
Practice Address - Phone:703-709-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered