Provider Demographics
NPI:1982770590
Name:DOWLER, LINDA DARNELL (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:DARNELL
Last Name:DOWLER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:DARNELL
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:333 MOUNT TOM RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-6817
Mailing Address - Country:US
Mailing Address - Phone:740-374-3454
Mailing Address - Fax:
Practice Address - Street 1:401 MATTHEW ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1635
Practice Address - Country:US
Practice Address - Phone:740-568-5249
Practice Address - Fax:740-374-4960
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.5133133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered