Provider Demographics
NPI:1568551174
Name:DAVID, HOLLY FINLEY (RD)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:FINLEY
Last Name:DAVID
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ANDRE DR
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-1525
Mailing Address - Country:US
Mailing Address - Phone:860-399-0361
Mailing Address - Fax:860-399-7573
Practice Address - Street 1:44 ANDRE DR
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:CT
Practice Address - Zip Code:06498-1525
Practice Address - Country:US
Practice Address - Phone:860-399-0361
Practice Address - Fax:860-399-7573
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000425133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT270000425CT01OtherANTHEM