CHILD DEVELOPMENT NETWORK LLC NPI 1922245752

NPI Information

  • NPI: 1922245752
  • Provider Name: CHILD DEVELOPMENT NETWORK LLC
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 76 BEDFORD ST
    SUITE 12
    LEXINGTON, MA
    ZIP 02420
  • Phone: (781) 861-6655

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NPI Details

CHILD DEVELOPMENT NETWORK LLC is a dietitian registered in Lexington, MA. The provider is 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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. CHILD DEVELOPMENT NETWORK LLC NPI is 1922245752. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

76 BEDFORD ST
SUITE 12
LEXINGTON, MA
ZIP 02420-646
Phone: (781) 861-6655
Fax: (781) 861-6654

The provider's authorized official is Janine Stasior .
The authorized official title is Practice Manager, Neuropsychologist and has the following contact phone number (781) 861-6655.

The enumeration date for this NPI number is 1/15/2009 and was last updated on 1/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered2178MASSACHUSETTSYes

What is NPI?

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This page was last updated on: 3/30/2025

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