Provider Demographics
NPI:1104375260
Name:SCHROYER, ROBIN (PHD, MA, RD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:SCHROYER
Suffix:
Gender:F
Credentials:PHD, MA, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 CRESTA RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-1727
Mailing Address - Country:US
Mailing Address - Phone:215-518-7158
Mailing Address - Fax:
Practice Address - Street 1:1705 CRESTA RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-1727
Practice Address - Country:US
Practice Address - Phone:215-518-7158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO928124133V00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered