Mireille Blacke, MA, RD, CD-N

Individual provider Nutrition Education Nutritionist · NPI 1861768889

Mireille Blacke, MA, RD, CD-N is a Nutrition Education Nutritionist in Middletown, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in: CT
In the registry since: 2012
Specialties on file: 2

What do these letters mean?

MA — Master of Arts: A graduate arts degree.
RD — Registered Dietitian: A credentialed nutrition professional.

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Practice location Address checks out

6122 Town Rdg
Middletown, CT 06457-6551
Phone: (203) 233-6680
Fax: (860) 852-3465

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary)	Taxonomy 133V00000X · Licence 1073878 (CT)
Nutrition Education Nutritionist	Taxonomy 133NN1002X · Licence 001082 (CT)

Record details

NPI number	1861768889
Entity type	Individual (Type 1)
Gender	Female
Credentials	MA , RD , CD-N
Sole proprietor	Yes
NPI enumerated	March 23, 2012
Last updated in NPPES	March 23, 2012