MRS. Stacey Koekkoek, MS RD, LDN, LMHC
NPI #1982898177 in Wayland, Massachusetts
Provider Information
- NPI Number
- 1982898177
- Entity Type
- Individual
- Name
- MRS. Stacey Koekkoek, MS RD, LDN, LMHC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MS RD, LDN, LMHC
- Enumeration Date
- Aug 30, 2007
- Last Updated
- Apr 4, 2017
Practice Location
- Address
- 260 BOSTON POST RD
- City
- Wayland
- State
- Massachusetts
- ZIP Code
- 01778-1889
- Phone
- (508) 276-1743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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