NPI 1215016373 · live from the CMS NPI Registry
Denise Michelle Clougherty, R.D.
Dietitian, Registered in Milford, MA. National Provider Identifier 1215016373, active.
NPI record
| NPI | 1215016373 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 14 Prospect St, Milford, MA 01757 |
| Practice phone | 508-422-2434 |
| Mailing address | 70 Newport St, Woonsocket, RI 02895 |
| Enumerated | November 2, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 778 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.