Provider Demographics
NPI:1942023304
Name:EPSTEIN, CORINNE ELISABETH (RDN, LDN)
Entity type:Individual
Prefix:MISS
First Name:CORINNE
Middle Name:ELISABETH
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 TANNERY RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4841
Mailing Address - Country:US
Mailing Address - Phone:413-786-2957
Mailing Address - Fax:413-786-2977
Practice Address - Street 1:33 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1406
Practice Address - Country:US
Practice Address - Phone:413-786-2957
Practice Address - Fax:413-786-2977
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7794133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered