Dr Diane M M Dellavalle, PHD, RDN, LDN is a
Dietitian, Registered based in Gouldsboro, Pennsylvania. Dr Diane M M Dellavalle is licensed to practice in Pennsylvania (license number DN001084) and her current practice location is
88 Mountainside Drive, Gouldsboro, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(607) 229-3683.
NPI number for Dr Diane M M Dellavalle is 1629555222 and her current mailing address is Po Box 1133, Gouldsboro, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629555222.
Healthcare Provider's Profile
Full Name | Dr Diane M M Dellavalle |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 88 Mountainside Drive, Gouldsboro, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629555222
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 07/26/2018
Medical Identifiers
Medical identifiers for Dr Diane M M Dellavalle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629555222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DN001084 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diane M M Dellavalle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Diane M M Dellavalle, PHD, RDN, LDN Po Box 1133, Gouldsboro, PA 18424-1133 Ph: (607) 229-3683 | Dr Diane M M Dellavalle, PHD, RDN, LDN 88 Mountainside Drive, Gouldsboro, PA 18424-1133 Ph: (607) 229-3683 |
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