Provider Demographics
NPI:1205329190
Name:SAVOY, CRYSTAL (RD)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:SAVOY
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 1:733 TURNPIKE ST # 122
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6137
Mailing Address - Country:US
Mailing Address - Phone:617-435-0591
Mailing Address - Fax:888-655-0698
Practice Address - Street 1:733 TURNPIKE ST # 122
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6137
Practice Address - Country:US
Practice Address - Phone:617-435-0591
Practice Address - Fax:888-655-0698
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA133V00000X
MA4566133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered