Doctor Name: | DR. DEBORAH KENNEDY DOUCETTE |
NPI Number: | 1013318096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | |
Business Practice Address: | 130 Weatherly Trl Guilford, CT - 064371203 |
Business Phone Number: | 2034304899 |
Business Fax Number: | |
Mailing Address: | 130 Weatherly Trl, GUILFORD |
State: | CT |
Postal Code: | 064371203 |
Phone Number: | 2034304899 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2014 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |