Provider Demographics
NPI:1013459114
Name:SCHUBERT MCPHERSON, TARYN (RD)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:SCHUBERT MCPHERSON
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 1:31777 TRADEWINDS DR
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-2444
Mailing Address - Country:US
Mailing Address - Phone:818-850-1561
Mailing Address - Fax:
Practice Address - Street 1:6201 CANBY AVE
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91335-7008
Practice Address - Country:US
Practice Address - Phone:818-850-1561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered