Healthcare Provider Details

I. General information

NPI: 1548338015
Provider Name (Legal Business Name): BARBARA C OLENDZKI RD, MPH, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 LAKE AVE N BLDG SHAW UMASS MEDICAL SCHOOL
WORCESTER MA
01655-0002
US

IV. Provider business mailing address

72 HOLDEN RD
STERLING MA
01564-2421
US

V. Phone/Fax

Practice location:
  • Phone: 508-856-5195
  • Fax: 508-856-2022
Mailing address:
  • Phone: 978-563-1550
  • Fax: 508-856-2022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number236
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number236
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: