Provider Demographics
NPI:1821354853
Name:DUNLAP, SUSAN CLAIRE (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CLAIRE
Last Name:DUNLAP
Suffix:
Gender:
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:302-645-3499
Mailing Address - Fax:302-644-4830
Practice Address - Street 1:21635 BIDEN AVE UNIT 203
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-4576
Practice Address - Country:US
Practice Address - Phone:302-260-7360
Practice Address - Fax:302-260-7361
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN-000374133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
722441OtherREGISTERED DIETITIAN
DEDN-0000374OtherLICENSE DIETITIAN/NUTRITIONIST