Provider Demographics
NPI:1235713280
Name:SLAUGHTER SMITH, MEGAN ALLISON (FNLP, CFNC, MCHC)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ALLISON
Last Name:SLAUGHTER SMITH
Suffix:
Gender:F
Credentials:FNLP, CFNC, MCHC
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:ALLISON
Other - Last Name:SLAUGHTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:942 BIRMINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-1911
Mailing Address - Country:US
Mailing Address - Phone:760-815-2691
Mailing Address - Fax:
Practice Address - Street 1:942 BIRMINGHAM RD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-1911
Practice Address - Country:US
Practice Address - Phone:760-815-2691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education