Healthcare Provider Details

I. General information

NPI: 1609299700
Provider Name (Legal Business Name): MOLLY KATHLEEN BIEHL RD, LDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 THORNRIDGE DR
LEVITTOWN PA
19054-2318
US

IV. Provider business mailing address

255 THORNRIDGE DR
LEVITTOWN PA
19054-2318
US

V. Phone/Fax

Practice location:
  • Phone: 215-208-2189
  • Fax:
Mailing address:
  • Phone: 215-208-2189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN005279
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: