Provider Demographics
NPI:1407232994
Name:PAUL, RACHEL (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:PAUL
Suffix:
Gender:
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 BOSTON POST RD STE 180
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-3665
Mailing Address - Country:US
Mailing Address - Phone:551-261-7011
Mailing Address - Fax:
Practice Address - Street 1:320 BOSTON POST RD STE 180
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-3665
Practice Address - Country:US
Practice Address - Phone:551-261-7011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY48 008319133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered