Provider Demographics
NPI:1003667593
Name:SCHARLACH, ROBYN SUZANNE (RD,LD)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:SUZANNE
Last Name:SCHARLACH
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 LONG MDW
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-5957
Mailing Address - Country:US
Mailing Address - Phone:210-777-1556
Mailing Address - Fax:
Practice Address - Street 1:808 LONG MDW
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-5957
Practice Address - Country:US
Practice Address - Phone:210-777-1556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800645133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered