Doctor Name: | MRS. HEATHER LEE PERACCHIO |
NPI Number: | 1679851968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D., CD-N |
License Number: | 000958 |
Business Practice Address: | 558 Maple Ave Cheshire, CT - 064102100 |
Business Phone Number: | 2039805616 |
Business Fax Number: | 2032713670 |
Mailing Address: | 558 Maple Ave, CHESHIRE |
State: | CT |
Postal Code: | 064102100 |
Phone Number: | 2039805616 |
Fax Number: | 2032713670 |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 000958 |
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 |