Provider Demographics
NPI:1336028349
Name:DALEY, SYDNEY CHRISTINE (RD, CSSD)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:CHRISTINE
Last Name:DALEY
Suffix:
Gender:F
Credentials:RD, CSSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4066 LEXINGTON AVE N APT 220
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-2935
Mailing Address - Country:US
Mailing Address - Phone:509-840-0020
Mailing Address - Fax:
Practice Address - Street 1:4066 LEXINGTON AVE N APT 220
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-2935
Practice Address - Country:US
Practice Address - Phone:509-840-0020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered