Provider Demographics
NPI:1457479354
Name:ALLARD, WENDY D (RD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:D
Last Name:ALLARD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 AMYS WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1048
Mailing Address - Country:US
Mailing Address - Phone:508-528-2226
Mailing Address - Fax:
Practice Address - Street 1:WRENTHAM DEVELOPMENT CENTER
Practice Address - Street 2:18 EMERALD ST
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093
Practice Address - Country:US
Practice Address - Phone:508-384-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered