Doctor Name: | MS. KATHLEEN ANN COLAO |
NPI Number: | 1184006264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, RDN |
License Number: | |
Business Practice Address: | 2721 E Coast Hwy Corona Del Mar, CA - 926252109 |
Business Phone Number: | 9498009797 |
Business Fax Number: | |
Mailing Address: | 4 Rue Fontainbleau, NEWPORT BEACH |
State: | CA |
Postal Code: | 926605926 |
Phone Number: | 9498009797 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2015 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |