Provider Demographics
NPI:1538732250
Name:ROPER, LEAH GALANTE (MS, RDN, LD)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:GALANTE
Last Name:ROPER
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:MARIE
Other - Last Name:GALANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN, LD
Mailing Address - Street 1:125 AUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4137
Mailing Address - Country:US
Mailing Address - Phone:716-998-1004
Mailing Address - Fax:
Practice Address - Street 1:125 AUSTIN DR
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4137
Practice Address - Country:US
Practice Address - Phone:716-998-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD004124133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered