Individual provider · Type 1 NPI

Aissa Courtney Boduch

Developmental Therapist · Lowell, MA

NPI number 1013198563 Active

Practice location

126 Phoenix Ave, Bldg. 2
Lowell, MA 01852-4931

Call (978) 453-8331 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1013198563

Aissa Courtney Boduch's National Provider Identifier is 1013198563, issued on Nov 26, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lowell, MA. The record was last updated on Nov 26, 2007.