Cathleen K Clifford, RD

Individual provider Active NPI Registered Dietitian · Waterville, ME

NPI 1851331607 · NPPES record last updated Jul 2, 2008

Key facts

NPI
1851331607
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DI197 (ME)
Practice address
32 College Ave
Waterville, ME 04901-6100
Phone
(207) 872-1760
Fax
(207) 872-1875
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
DI197MEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Behavioral Healthcare, LLC Past
since Dec 1, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI197 ME Yes

Addresses

Primary practice location

32 College Ave
Waterville, ME 04901-6100

Mailing address

32 College Ave
Waterville, ME 04901-6100
Phone (207) 872-1760

Other providers in Waterville, ME

All providers in Waterville, ME · Registered Dietitian in Maine

Sources for this page

Verify at the official NPI Registry.