Detri M. Brech, PHD, RD, LD, CDE
Individual provider Active NPI Registered Dietitian · Arkadelphia, AR
NPI 1548411994 · NPPES record last updated Oct 3, 2008
Key facts
- NPI
- 1548411994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 698613 (AR)
- Practice address
- 117 Pinnacle Dr
Arkadelphia, AR 71923-3618 - Phone
- (870) 246-9275
- NPI assigned
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 698613 | AR | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 698613 | AR | Yes |
Addresses
Primary practice location
117 Pinnacle Dr
Arkadelphia, AR 71923-3618
Mailing address
117 Pinnacle Dr
Arkadelphia, AR 71923-3618
Phone (870) 246-9275
Other providers in Arkadelphia, AR
- Deborah L Brantley
- Sarah J Brawley
- Bray Family Medicine, PLLC
- Shelly C Bray
- Brigette Breakall
- Bright Horizons Counseling
- Brookshire Grocery Company
- Billy Brown
- Kristin Paige Brown
- Stephen Cole Brown
All providers in Arkadelphia, AR · Registered Dietitian in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.