IndividualActive
Mentrel Young, DSC.,C.N.S.,C.D.-N.
NPI 1447405915 · Nutritionist · Bridgeport, CT
Provider details
- NPI number
- 1447405915
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- DSC.,C.N.S.,C.D.-N.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000870 (CT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
79 Hawthorne St
Bridgeport, CT 06610-1606
Phone: (203) 400-1990
Approximate (ZIP-level) locationGet directions
Mailing address
79 Hawthorne St
Bridgeport, CT 06610-1606
Registry dates
- Enumerated
- 2008-11-24
- Last updated
- 2011-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.