Healthcare Provider Details

I. General information

NPI: 1285172650
Provider Name (Legal Business Name): CATHERINE HALLET RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 WELCH RD SUITE 214
PALO ALTO CA
94304-1507
US

IV. Provider business mailing address

750 WELCH RD SUITE 214
PALO ALTO CA
94304-1507
US

V. Phone/Fax

Practice location:
  • Phone: 650-498-8139
  • Fax:
Mailing address:
  • Phone: 650-498-8139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: