Provider Demographics
NPI:1992979371
Name:CALEY, LINDA SUE (MS,RD)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUE
Last Name:CALEY
Suffix:
Gender:F
Credentials:MS,RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CARLI BLVD
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-1875
Mailing Address - Country:US
Mailing Address - Phone:860-537-5486
Mailing Address - Fax:
Practice Address - Street 1:120 CARLI BLVD
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-1875
Practice Address - Country:US
Practice Address - Phone:860-537-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered