Provider Demographics
NPI:1639616261
Name:SNELGROVE, VICTORIA CATALANO (RDN, IBCLC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:CATALANO
Last Name:SNELGROVE
Suffix:
Gender:F
Credentials:RDN, IBCLC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:ANN
Other - Last Name:CATALANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:1914 SLEEPY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1050
Mailing Address - Country:US
Mailing Address - Phone:941-350-5970
Mailing Address - Fax:
Practice Address - Street 1:1914 SLEEPY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1050
Practice Address - Country:US
Practice Address - Phone:443-333-8951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-20
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3828133V00000X, 133VN1004X
DCDI100000826133VN1004X
174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric