Individual
ANGELA VICTORIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSN, LDN
Contact information
Practice address
281 COBBLER LN, SOUTHBURY, CT 06488-2686
(203) 456-5284
Mailing address
281 COBBLER LN, SOUTHBURY, CT 06488-2686
(203) 456-5284
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
59.002949
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59.002949
STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
CT
01
—
86378409
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
08/04/2025
Last updated
08/22/2025
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