Provider Demographics
NPI:1891330676
Name:DALEY, ERIN MEGHAN (RD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MEGHAN
Last Name:DALEY
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 1:4 CHESTNUT CIR
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-2404
Mailing Address - Country:US
Mailing Address - Phone:860-395-9954
Mailing Address - Fax:
Practice Address - Street 1:682 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-3045
Practice Address - Country:US
Practice Address - Phone:860-395-9954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-15
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001810163W00000X
CT86102487133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No163W00000XNursing Service ProvidersRegistered Nurse