Marie Dimeglio, RDN, LDN

Individual provider Active NPI Registered Dietitian · Ansonia, CT

NPI 1306676010 · NPPES record last updated Aug 6, 2024

Key facts

NPI
1306676010
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2236 (CT)
Practice address
10 Catalina Dr
Ansonia, CT 06401-2514
Phone
(203) 993-4612
NPI assigned
Aug 6, 2024
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

LicenseStateTypeSpecialty
2236CTMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2236 CT Yes

Addresses

Primary practice location

10 Catalina Dr
Ansonia, CT 06401-2514

Mailing address

10 Catalina Dr
Ansonia, CT 06401-2514
Phone (203) 993-4612

Other providers in Ansonia, CT

All providers in Ansonia, CT · Registered Dietitian in Connecticut

Sources for this page

Verify at the official NPI Registry.