Organization
VAN DUSEN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LING (PRESIDENT)
(508) 361-8392
Entity
Organization
Contact information
Practice address
163 HIGHLAND AVE, NEEDHAM HEIGHTS, MA 02494-3025
(781) 343-1592
Mailing address
163 HIGHLAND AVE, NEEDHAM HEIGHTS, MA 02494-3025
(781) 343-1592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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