CAITLIN BLAKE, CTNC, CHP, CHC, LLC SOUTHBURY, CT

Contact Information

CAITLIN BLAKE, CTNC, CHP, CHC, LLC

220 MAIN ST S STE 207
SOUTHBURY, CT 06488-2275

Phone: 860-491-5059
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nutrition, Education	133NN1002X

Indicates primary specialty

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NPI Profile & details for CAITLIN BLAKE · (Female)

NPI Number	`1053895714`
Status	Active
Credentials	CTNC, CHP, CHC, LLC
Entity	Individual
Enumeration date	09/19/2018
Last updated	09/19/2018 - About 8 years ago
Sole proprietor ¹	Yes
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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CAITLIN BLAKE, CTNC, CHP, CHC, LLC – NPI #1053895714Nutrition, Education

Contact Information

Specialty

Nutrition, Education

NPI Profile & details for CAITLIN BLAKE · (Female)

Reviews for CAITLIN BLAKE

CAITLIN BLAKE, CTNC, CHP, CHC, LLC – NPI #1053895714
Nutrition, Education