Individual
MS. PATRICIA DANEHY CATSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
21 WAVERLY ST, PORTLAND, ME 04103-3313
(207) 318-7629
Mailing address
PO BOX 10106, PORTLAND, ME 04104-0106
(207) 318-7629
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI860
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100285
BC BS
—
01
—
11564280
CAQH
—
01
—
1243064
AETNA
—
Enumeration date
07/31/2006
Last updated
02/19/2012
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