Most Relevant Information
Provider Data
| NPI Number: | 1003271438 |
| Provider Name: | COURTNEY DANIELLE SPEAKMAN M.A. R.D. C.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86010840 |
Most Important Dates
| Enumeration Date: | 12/30/2015 |
| Last Updated: | 12/30/2015 |
Provider Practice Location
618 W MAIN ST
CHESTERFIELD
IN
460171116
Practice Location Phone/Fax
| Phone: | 7654269292 |
| Fax: |
Provider Mailing Location
618 W MAIN ST
CHESTERFIELD
IN
460171116
Provider Mailing Phone/Fax
| Phone: | 7654269292 |
| Fax: |