Individual
GWENDOLYN ANN WITTENBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD, CSP, LD
Contact information
Practice address
12606 GREENVILLE AVE STE 200, DALLAS, TX 75243-1923
(469) 780-4590
(972) 437-1988
Mailing address
12606 GREENVILLE AVE STE 200, DALLAS, TX 75243-1923
(469) 780-4590
(972) 437-1988
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05870
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
DT05780
TX
Other
Enumeration date
07/16/2015
Last updated
11/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us