| Theresa Hedrick, RDN | |
|
119 S Burrowes St Ste 702, State College, PA 16801-3864 | |
| (814) 263-5460 | |
| (814) 263-1263 |
| Full Name | Theresa Hedrick |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 119 S Burrowes St Ste 702, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811404759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-D-10165887 (Oregon) | Primary |
| Provider Name | Hedrick Food & Nutrition Consulting, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174145049 PECOS PAC ID: 7113348905 Enrollment ID: O20200603001083 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Hedrick, RDN 2388 Charleston Dr, State College, PA 16801-2472 Ph: (814) 263-5460 | Theresa Hedrick, RDN 119 S Burrowes St Ste 702, State College, PA 16801-3864 Ph: (814) 263-5460 |
Lynn E Diven, RD LD CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Ste 312, State College, PA 16803 Phone: 814-689-3156 Fax: 814-689-1954 | |
Emily Lynn Kelly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 389 Douglas Dr, State College, PA 16803 Phone: 814-321-4876 | |
Miss Heather Le Harpster, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 E Park Ave, Nutrition And Culinary Services, State College, PA 16803 Phone: 814-231-7194 Fax: 814-231-7118 | |
Zachary Tyler Wenger, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 215 Fernwood Ct, State College, PA 16803 Phone: 703-618-4221 | |
Hedrick Food & Nutrition Consulting, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 119 S Burrowes St Ste 702, State College, PA 16801 Phone: 814-263-5460 | |
Ms. Melissa Ann Hendricks, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Kelly Combs, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Jefferson Ave Ste 113, State College, PA 16801 Phone: 717-398-8157 |