Doctor Name: | DEBORAH M. PETERSON |
NPI Number: | 1588891121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CDE |
License Number: | 000645 |
Business Practice Address: | 365 Montauk Ave New London, CT - 063204700 |
Business Phone Number: | 8604444737 |
Business Fax Number: | 8604444775 |
Mailing Address: | 365 Montauk Ave, NEW LONDON |
State: | CT |
Postal Code: | 063204700 |
Phone Number: | 8604444737 |
Fax Number: | 8604444775 |
NPI Enumeration Date: | 06/22/2009 |
NPI Last Update Date: | 06/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 000645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |