Provider Demographics
NPI:1326854571
Name:HECHT, AMANDA (RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:HECHT
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:PERRIELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CDN
Mailing Address - Street 1:8 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-3356
Mailing Address - Country:US
Mailing Address - Phone:860-681-2540
Mailing Address - Fax:
Practice Address - Street 1:8 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-3356
Practice Address - Country:US
Practice Address - Phone:860-681-2540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001671133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered