Individual
KATHERINE MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3075
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7585
(203) 732-7579
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1467
CT
Other
Enumeration date
12/13/2016
Last updated
04/13/2018
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