Provider Demographics
NPI:1992315121
Name:MCAVOY, SYDNEY CLAIRE (RDN)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:CLAIRE
Last Name:MCAVOY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 COLBY LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3223
Mailing Address - Country:US
Mailing Address - Phone:512-921-2331
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DR STE 165
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4293
Practice Address - Country:US
Practice Address - Phone:512-338-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered