Provider Demographics
NPI:1811393234
Name:GARVEY, TERESA M (MS RD LDN)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:M
Last Name:GARVEY
Suffix:
Gender:F
Credentials:MS RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ABBOTSFORD DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3914
Mailing Address - Country:US
Mailing Address - Phone:609-315-1342
Mailing Address - Fax:
Practice Address - Street 1:8 ABBOTSFORD DR
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3914
Practice Address - Country:US
Practice Address - Phone:609-315-1342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered