Individual provider · NPI-1

Amanda Cooley, RD, IBCLC

Dietitian, Registered · Mountain View, CA

NPI number1912798141
StatusActive
Last updated in NPPESMay 23, 2025

Details

NPI
1912798141
Entity type
Individual (NPI-1)
Name
Amanda Cooley
Credential
RD, IBCLC
Sex
Female
Sole proprietor
Yes
Enumeration date
May 15, 2025
Certification date
May 23, 2025
Last updated
May 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered976114CAYes
174N00000X Lactation Consultant, Non-RNL-165273CA

Practice location

809 Cuesta Dr
Ste B #1166
Mountain View, CA 94040

Phone 530-219-7880

Mailing address

809 Cuesta Drive
Suite B #1166
Mountain View, CA 94040

Other practice locations

417 Palo Verde Dr
Sunnyvale, CA 94086-6762

Phone 530-219-7880

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