NPI 1881940971 · live from the CMS NPI Registry
Michelle Menovich Becker, MS, RD
Dietitian, Registered in Brockton, MA. National Provider Identifier 1881940971, active.
NPI record
| NPI | 1881940971 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 940 Belmont St, Brockton, MA 02301 |
| Practice phone | 508-583-4500 |
| Mailing address | 203 Summer St, Somerville, MA 02143 |
| Enumerated | July 26, 2012 |
| Last updated | July 26, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 000003289 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.