Provider Demographics
NPI:1346805165
Name:SCHUSSLER, BETH-ELLE (RDN)
Entity Type:Individual
Prefix:
First Name:BETH-ELLE
Middle Name:
Last Name:SCHUSSLER
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 1:255 COGGINS DR APT E15
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4486
Mailing Address - Country:US
Mailing Address - Phone:925-549-0873
Mailing Address - Fax:
Practice Address - Street 1:255 COGGINS DR APT E15
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4486
Practice Address - Country:US
Practice Address - Phone:925-549-0873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered