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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GRETCHEN COLEMAN WALLACE, MS, RD, LD, CD

Active Sole Proprietor

MRS. GRETCHEN COLEMAN WALLACE, MS, RD, LD, CD is a Registered Dietitian healthcare provider located in ST. LOUIS, Missouri. NPI 1023535440 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · ST. LOUIS, MO

Registration Details

NPI Number
1023535440
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2017 (8.7914985865764 yrs)
Last Updated
Nov 8, 2023
Licenses
2023005984 (MO)
10235828 (OR)
DI60956654 (WA)
Sole Proprietor
Yes

Practice Information

Address
6 CARDINAL WAY
SUITE 900
ST. LOUIS, MO, 63102
Browse MO providers · Browse ZIP 63102
Phone
3602092075
Fax
2066819640
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian
Additional Specialty
Registered Dietitian
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in ST. LOUIS, MO

Name Credential NPI
LINDSEY ALLISON HOOKS RD, LD 1063434157
MS. JULIA ANN GILMER R.D. 1043327745
JUDITH ARLINE SCHMITT R.D. 1891888350
MRS. SHU JANE YU MS, RD, LDN, CDE 1144382995
MS. AMBER JOY WAMHOFF RD 1134315179
MS. CONNIE JEAN WILDT RD,LD 1356583504
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.