Provider Demographics
NPI:1801326780
Name:SLATER, WENDY MEREDITH (RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:MEREDITH
Last Name:SLATER
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 RIVERGATE DR
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4134
Mailing Address - Country:US
Mailing Address - Phone:203-803-9061
Mailing Address - Fax:
Practice Address - Street 1:40 CROSS ST STE 300
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4661
Practice Address - Country:US
Practice Address - Phone:203-229-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001462133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered