Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIREILLE BLACKE, MA, RD, CD-N
Active Sole ProprietorRegistered Dietitian · MIDDLETOWN, CT
Registration Details
- NPI Number
- 1861768889
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2012 (14.120640482959 yrs)
- Last Updated
- Mar 23, 2012
- Licenses
-
001082 (CT)1073878 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6122 TOWN RDGMIDDLETOWN, CT, 064576551Browse CT providers · Browse ZIP 06457
- Phone
- 2032336680
- Fax
- 8608523465
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
Other Registered Dietitian Providers in MIDDLETOWN, CT
| Name | Credential | NPI |
|---|---|---|
| ERIN SODHI | RD | 1912976358 |
| EILEEN RICE | RD | 1497852685 |
| PIPER S TOBLER | RD | 1578657805 |
| MS. ELIZABETH JOSLOW ARCHAMBAULT | REGISTERED DIETITIAN | 1437375920 |
| MS. KITTIE LEE SPEDDING | MS RD | 1801083498 |
| LUZ HAGO | — | 1770814105 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.