MEDICARE: KATHERINE M DELANCY R.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	1066124	CT

General Provider Information

NPI Number	:	1780957829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE M DELANCY R.D.

Provider Business Mailing Address
First Line	:	789 HOWARD AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06519-1300
Country	:	US
Telephone Number	:	203-785-7474
Fax Number	:

Provider Business Practice Location Address
First Line	:	789 HOWARD AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06519-1300
Country	:	US
Telephone Number	:	203-789-3363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2012
Last Update Date	:	01/13/2026

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