Individual provider · Type 1 NPI

Mia Blum, MED

Developmental Therapist · Beverly, MA

NPI number 1083450167 Active

Practice location

100 Cummings Ctr Ste 158D
Beverly, MA 01915-6279

Mailing address

365 Appleton St
North Andover, MA 01845-3136

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 1083450167

Mia Blum, MED's National Provider Identifier is 1083450167, issued on Jul 8, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Beverly, MA. The record was last updated on Jul 8, 2024.