Rebecca O'Brien

Individual provider Active NPI Registered Dietitian · Weston, CT

NPI 1134635014 · NPPES record last updated Dec 14, 2017

Key facts

NPI
1134635014
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
21 Deer Run TRL
Weston, CT 06883-3027
Phone
(203) 451-4423
NPI assigned
Dec 14, 2017
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)
Yes

State licenses

LicenseStateTypeSpecialty
1456CTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

21 Deer Run TRL
Weston, CT 06883-3027

Mailing address

21 Deer Run Trail
Weston, CT 06883
Phone (203) 451-4423

Other providers in Weston, CT

All providers in Weston, CT · Registered Dietitian in Connecticut

Sources for this page

Verify at the official NPI Registry.