Healthcare Provider Details

I. General information

NPI: 1710327010
Provider Name (Legal Business Name): VALLEY NUTRITION COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2013
Last Update Date: 07/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 S PROSPECT ST SUITE 9
AMHERST MA
01002-2362
US

IV. Provider business mailing address

26 S PROSPECT ST SUITE 9
AMHERST MA
01002-2362
US

V. Phone/Fax

Practice location:
  • Phone: 413-314-3438
  • Fax:
Mailing address:
  • Phone: 413-314-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number676
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number StateMA

VIII. Authorized Official

Name: DR. FATEMEH GIAHI
Title or Position: REGISTERED DIETITIAN
Credential: PHD, RD
Phone: 413-314-3438