Provider Demographics
NPI:1790226462
Name:SCHEUER, ROBERTA (RD)
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:SCHEUER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ROBBI
Other - Middle Name:
Other - Last Name:SCHEUER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:214 COLONIAL HOMES DR NW
Mailing Address - Street 2:APT 1401
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1245
Mailing Address - Country:US
Mailing Address - Phone:678-760-8499
Mailing Address - Fax:
Practice Address - Street 1:214 COLONIAL HOMES DR NW
Practice Address - Street 2:APT 1401
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1245
Practice Address - Country:US
Practice Address - Phone:678-760-8499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD004315133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered