Maureen A Devlin, RD
Individual provider Active NPI Registered Dietitian · Middlebury, CT
NPI 1962475871 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962475871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 000733 (CT)
- Practice address
- 590 Middlebury Rd
Middlebury, CT 06762-2554 - Phone
- (203) 758-1004
- Fax
- (203) 758-1551
- NPI assigned
- Feb 10, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000733 | CT | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000733 | CT | Yes |
Addresses
Primary practice location
590 Middlebury Rd
Middlebury, CT 06762-2554
Mailing address
1625 Straits Tpke
Suite 301
Middlebury, CT 06762-1836
Phone (203) 573-9512
Other providers in Middlebury, CT
- Joseph P Deluca
- Alex Ralph Demac
- Joseph Daniel Demayo
- Krista Derosa
- Nadia Desimone
- Ayan Mohamed Dirir
- Dr Mandava DDS Family Dentistry PC
- Grace Duke
- Amy Elizabeth Dumont
- Daniel N Dwyer
All providers in Middlebury, 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 Jul 8, 2007. 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.