Individual provider · Type 1 NPI

Dominique Marie Mendoza

Developmental Therapist · Worcester, MA

NPI number 1043855844 Active

Practice location

345A Greenwood St
Worcester, MA 01607-1753

Call (508) 363-0200 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 1043855844

Dominique Marie Mendoza's National Provider Identifier is 1043855844, issued on Nov 15, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Worcester, MA. The record was last updated on Nov 15, 2019.