Healthcare Provider Details
I. General information
NPI: 1932508934
Provider Name (Legal Business Name): HENGAMEH ALLEN-SCHAAL PH.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/15/2014
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3327 DUKE ST
ALEXANDRIA VA
22314-4597
US
IV. Provider business mailing address
3327 DUKE ST
ALEXANDRIA VA
22314-4597
US
V. Phone/Fax
- Phone: 202-846-1412
- Fax: 202-846-1418
- Phone: 202-846-1412
- Fax: 202-846-1418
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: