Provider Demographics
NPI:1326884610
Name:DESCHLER, CECILIA L (RDN, CLC)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:L
Last Name:DESCHLER
Suffix:
Gender:
Credentials:RDN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3362 E ARMOUR AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:CUDAHY
Mailing Address - State:WI
Mailing Address - Zip Code:53110-1001
Mailing Address - Country:US
Mailing Address - Phone:414-688-9389
Mailing Address - Fax:
Practice Address - Street 1:3362 E ARMOUR AVE UNIT A
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-1001
Practice Address - Country:US
Practice Address - Phone:414-688-9389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-05
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5626-29133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty