Individual provider · Type 1 NPI

Leticia Wallace, R.D., L.D.

Registered Dietitian · Austin, TX

NPI number 1891022828 Active

Practice location

211 Comal St
Austin, TX 78702-4326

Call (512) 978-8130 Map

Mailing address

1111 E Cesar Chavez St
Austin, TX 78702-4209

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XDT80777 (TX)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1891022828

Leticia Wallace, R.D., L.D.'s National Provider Identifier is 1891022828, issued on Nov 12, 2009. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Austin, TX. The record was last updated on Oct 18, 2025.