Healthcare Provider Details

I. General information

NPI: 1114863891
Provider Name (Legal Business Name): VALARIE LYNN TERRY RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALARIE LYNN SYMINGTON RDN, LDN

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30100 WALKER RD N APT 513
WALKER LA
70785-7361
US

IV. Provider business mailing address

30100 WALKER RD N APT 513
WALKER LA
70785-7361
US

V. Phone/Fax

Practice location:
  • Phone: 225-202-3224
  • Fax:
Mailing address:
  • Phone: 225-202-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3468
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: