Individual
DR. DOUGLAS WALTER ENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
30 REVERE BEACH PKWY APT 302, MEDFORD, MA 02155-5162
(617) 281-8368
Mailing address
30 REVERE BEACH PKWY APT 302, MEDFORD, MA 02155-5162
(617) 281-8368
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
961
MA
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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