Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mary Halloran, NDTR, LD

Individual provider Registered Dietetic Technician · NPI 1417861394

Mary Halloran, NDTR, LD is a Registered Dietetic Technician in Elyria, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

857 Cedar Crest Dr
Elyria, OH 44035-8985
Phone: (614) 985-6567
Fax: (614) 808-3854
Show map & directions

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

Specialties & licences

Registered Dietetic Technician (primary) Taxonomy 136A00000X · Licence 2570 (OH)

Record details

NPI number1417861394
Entity typeIndividual (Type 1)
GenderFemale
Credentials NDTR , LD
Sole proprietorYes
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026