Provider Demographics
NPI:1811312762
Name:BEECHUK, ROBYN (MPH, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:
Last Name:BEECHUK
Suffix:
Gender:F
Credentials:MPH, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3801
Mailing Address - Country:US
Mailing Address - Phone:248-231-0757
Mailing Address - Fax:
Practice Address - Street 1:1206 JACKSON DR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3801
Practice Address - Country:US
Practice Address - Phone:248-231-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-02
Last Update Date:2014-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005258133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered