Individual
CATHERINE STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
242 FARMVIEW DR, MACEDON, NY 14502-9329
(585) 703-6290
Mailing address
242 FARMVIEW DR, MACEDON, NY 14502-9329
(585) 703-6290
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86061886
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
06/18/2017
Last updated
07/21/2022
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