| Alicia D Susilla, BS | |
|
600 Broadway St, Longview, WA 98632-3256 | |
| (360) 414-2200 | |
| (360) 414-2210 |
| Full Name | Alicia D Susilla |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 600 Broadway St, Longview, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154315968 | NPI | - | NPPES |
| 022955 | Medicaid | OR | |
| 8416349 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI00001601 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia D Susilla, BS Po Box 249, Longview, WA 98632-7154 Ph: () - | Alicia D Susilla, BS 600 Broadway St, Longview, WA 98632-3256 Ph: (360) 414-2200 |
Patricia S Goodman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1057 12th Ave, Longview, WA 98632 Phone: 360-423-7740 Fax: 360-423-7894 | |
Robin Hammon, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 783 Commerce Ave, Longview, WA 98632 Phone: 360-577-2630 | |
Kaydee Mae Harris, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 160 Monticello Dr, Longview, WA 98632 Phone: 360-560-9760 | |
Margaret D Norman, BS, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-636-4943 Fax: 360-414-7674 | |
Emily Greenough, Dietitian Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Erika Jeanne Zeff, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-501-3648 |