Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Self

Individual provider Registered Dietitian · NPI 1528957545

Matthew Self is a Registered Dietitian in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

1930 S Broad St
Philadelphia, PA 19145-2328
Phone: (856) 308-7529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DN007111 (PA)

Record details

NPI number1528957545
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 2, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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