Healthcare Provider Details

I. General information

NPI: 1033320395
Provider Name (Legal Business Name): HEATHER LE HARPSTER MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER LE HARPSTER MS, RD, LDN

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E PARK AVE NUTRITION AND CULINARY SERVICES
STATE COLLEGE PA
16803-6701
US

IV. Provider business mailing address

1800 E PARK AVE NUTRITION AND CULINARY SERVICES
STATE COLLEGE PA
16803-6701
US

V. Phone/Fax

Practice location:
  • Phone: 814-231-7194
  • Fax: 814-231-7118
Mailing address:
  • Phone: 814-231-7194
  • Fax: 814-231-7118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN003200
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: