Provider Demographics
NPI:1740376367
Name:ATKINSON, CHERYL L (PHD, RD, LDN)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:L
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:PHD, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 SCENIC HIGHWAY
Mailing Address - Street 2:APT. # L-32
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70807
Mailing Address - Country:US
Mailing Address - Phone:225-354-4404
Mailing Address - Fax:225-771-2400
Practice Address - Street 1:7801 SCENIC HIGHWAY
Practice Address - Street 2:APT. # L-32
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70807
Practice Address - Country:US
Practice Address - Phone:225-354-4404
Practice Address - Fax:225-771-2400
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA352133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered