Provider Demographics
NPI:1982959474
Name:DIACOPOULOS, JOYCE G (RD)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:G
Last Name:DIACOPOULOS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 CENTRE AVE
Mailing Address - Street 2:COOPER PAVILION/ HILLMAN CANCER CENTER/ 2ND FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1301
Mailing Address - Country:US
Mailing Address - Phone:412-623-3325
Mailing Address - Fax:412-623-2429
Practice Address - Street 1:5115 CENTRE AVE
Practice Address - Street 2:COOPER PAVILION/ HILLMAN CANCER CENTER/ 2ND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1301
Practice Address - Country:US
Practice Address - Phone:412-623-3325
Practice Address - Fax:412-623-2429
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN0000998133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered