Provider Demographics
NPI:1629679691
Name:MORRON, ALYSSA ANN (RD, CD-N, LDN)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:ANN
Last Name:MORRON
Suffix:
Gender:F
Credentials:RD, CD-N, LDN
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:ANN
Other - Last Name:BRENNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CD-N, LDN
Mailing Address - Street 1:47 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4205
Mailing Address - Country:US
Mailing Address - Phone:860-966-4801
Mailing Address - Fax:
Practice Address - Street 1:90 CAREW ST UNIT A
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3405
Practice Address - Country:US
Practice Address - Phone:413-736-9600
Practice Address - Fax:413-736-9661
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001168133V00000X
MA4541133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered