Provider Demographics
NPI:1154605582
Name:VAN ARSDALE, SUMMER GENEVA (RD, CSR, CCTD, LD)
Entity type:Individual
Prefix:MRS
First Name:SUMMER
Middle Name:GENEVA
Last Name:VAN ARSDALE
Suffix:
Gender:F
Credentials:RD, CSR, CCTD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 E NORTH ST
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3255
Mailing Address - Country:US
Mailing Address - Phone:202-491-3085
Mailing Address - Fax:
Practice Address - Street 1:357 E NORTH ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3255
Practice Address - Country:US
Practice Address - Phone:520-249-1308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered