Provider Demographics
NPI:1578370904
Name:MORRIS, REBECCA LEIGH (RD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEIGH
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GAGE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2116
Mailing Address - Country:US
Mailing Address - Phone:508-517-4078
Mailing Address - Fax:
Practice Address - Street 1:7 GAGE ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2116
Practice Address - Country:US
Practice Address - Phone:508-517-4078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered