Audrey M Young, RD, LDN, CDE
Dietitian, Registered in Peabody, MA. Individual provider (NPI-1).
NPI number1881815751
StatusActive
Last updated in NPPESDec 22, 2022
Details
- NPI
- 1881815751
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Audrey M Young
- Credential
- RD, LDN, CDE
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2007
- Certification date
- Oct 26, 2021
- Last updated
- Dec 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 901 | MA | Yes |
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | 901 | MA |
Practice location
2 First Avenue Centennial CrossingSuite 112
Peabody, MA 01960
Phone 617-240-6383 · Fax 978-745-7982
Mailing address
Mystic Healthcare137 Main Street
Medford, MA 01255
Phone 781-395-4761 · Fax 781-395-5081
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