Provider Demographics
NPI:1801260401
Name:VAN'T ZELFDEN, STEPHANIE (RDN, CDN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:VAN'T ZELFDEN
Suffix:
Gender:F
Credentials:RDN, CDN
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CDN
Mailing Address - Street 1:38 CHATHAM DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2955
Mailing Address - Country:US
Mailing Address - Phone:856-320-5100
Mailing Address - Fax:856-320-5600
Practice Address - Street 1:38 CHATHAM DR
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2955
Practice Address - Country:US
Practice Address - Phone:347-788-8422
Practice Address - Fax:833-638-0784
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-19
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008454-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered