Whalio Doctors

NPI 1851573687

Maryann E Hagberg, RDCDN

Practitioner Dietary Manager Derby, CT

Practice location

Address
130 Division St, Derby, CT 06418-1326
Phone
(203) 732-7585
Mailing address
106 Sabal Dr, Waterbury, CT 06708-2166

Registered specialties (2)

Dietary Manager Primary
Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 000814 (CT)
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 000814 (CT)

Registry record

NPI
1851573687
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Dec 2007
Record last updated
17 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.