Provider Demographics
NPI:1679767727
Name:SCHOEPE, COURTNEY D (MA, RD, LDN)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:D
Last Name:SCHOEPE
Suffix:
Gender:F
Credentials:MA, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 RIGHTERS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1305
Mailing Address - Country:US
Mailing Address - Phone:610-664-6464
Mailing Address - Fax:610-664-6631
Practice Address - Street 1:601 RIGHTERS FERRY RD
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1305
Practice Address - Country:US
Practice Address - Phone:610-664-6464
Practice Address - Fax:610-664-6631
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003739133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered