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

Mr. Clinton Harold Wattenberg, RD

Individual provider Registered Dietitian · NPI 1942580501

Mr. Clinton Harold Wattenberg, RD is a Registered Dietitian in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
4
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

949 E State St
Ithaca, NY 14850-6158
Phone: (607) 227-9344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1044495 (NY)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 1044495 (NY)
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X · Licence 1044495 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 1044495 (NY)

Record details

NPI number1942580501
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorYes
NPI enumeratedAugust 26, 2011
Last updated in NPPESAugust 26, 2011

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