Pamela Lynn Doubleday, RD
Individual provider Active NPI Registered Dietitian · Wolcott, CT
NPI 1003190422 · NPPES record last updated Oct 4, 2011
Key facts
- NPI
- 1003190422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 03297772 (CT)
- Practice address
- 2 Hemingway Ave
Wolcott, CT 06716-2925 - Phone
- (203) 879-2442
- Fax
- (203) 879-2442
- NPI assigned
- Oct 4, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03297772 | CT | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 03297772 | CT | Yes |
Addresses
Primary practice location
2 Hemingway Ave
Wolcott, CT 06716-2925
Mailing address
2 Hemingway Ave
Wolcott, CT 06716-2925
Phone (203) 879-2442
Other providers in Wolcott, CT
- Paul Michael Didomizio
- Erica Marie Dipietro
- David M Donnelly
- Tara Donnelly
- Jayra Dorso
- Sheanell Dougall
- Shakaya Douglas
- Dr. McHugh and Associates, P.C.
- Quamesha Dunbar
- Richard A Dvarskas
All providers in Wolcott, CT · Registered Dietitian in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.