A Healthy Balance, Inc.
Organization Active NPI Registered Dietitian · Quincy, MA
NPI 1033463146 · NPPES record last updated Dec 5, 2012
Key facts
- NPI
- 1033463146
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2917 (MA)
- Legal business name
- A HEALTHY BALANCE, INC.
- Practice address
- 14B Alleyne Street
Quincy, MA 02169-2009 - Phone
- (617) 479-0500
- Fax
- (617) 302-2144
- NPI assigned
- Oct 29, 2012
- Organization subpart
- No
Authorized official
- Name
- Ms. Nicole L. Tierney, LN
- Title
- President
- Phone
- (617) 479-0500
National Provider Directory
Locations
15 N Main St
Bellingham, MA 02019
228 Columbia Rd
Ste 5
Hanover, MA 02339
228 Columbia Rd
Ste D3
Hanover, MA 02339
275 Circuit St
Ste 1
Hanover, MA 02339
14 Alleyne St
#A
Quincy, MA 02169
Phone (617) 479-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 2917 | MA | Yes |
| Registered Dietitian |
133V00000X | 3125 | MA | |
| Registered Dietitian |
133V00000X | 3397 | MA | |
| Registered Dietitian |
133V00000X | 3401 | MA |
Addresses
Primary practice location
14B Alleyne Street
Quincy, MA 02169-2009
Mailing address
14B Alleyne Street
Quincy, MA 02169-2009
Phone (617) 479-0500
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All providers in Quincy, MA · Registered Dietitian in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.