Individual
MS. PHYLLIS FARKAS LIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN
Contact information
Practice address
41 CONSHOHOCKEN STATE RD, #601, BALA CYNWYD, PA 19004-2438
(610) 664-9994
(610) 664-9994
Mailing address
41 CONSHOHOCKEN STATE RD, #601, BALA CYNWYD, PA 19004-2438
(610) 664-9994
(610) 664-9994
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
R-204004
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204004
REGISTERED DIETITIAN, AMERICAN DIETETIC ASSOCIATION
PA
Enumeration date
05/06/2009
Last updated
05/06/2009
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