Provider Demographics
NPI:1063505246
Name:PRITCHARD DOWNIE, SUSAN E (MS)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:PRITCHARD DOWNIE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 EAST AVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4902
Mailing Address - Country:US
Mailing Address - Phone:203-866-2212
Mailing Address - Fax:203-866-2207
Practice Address - Street 1:RESPIRATORY ASSOCIATES 83 EAST AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851
Practice Address - Country:US
Practice Address - Phone:203-866-2212
Practice Address - Fax:203-866-2207
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000758133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered