Individual provider · Type 1 NPI

Jessica Gelineau

Developmental Therapist · Southbridge, MA

NPI number 1104592419 Active

Practice location

486 Worcester St
Southbridge, MA 01550-1386

Mailing address

205 Freeman Rd
Charlton, MA 01507-1375

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 1104592419

Jessica Gelineau's National Provider Identifier is 1104592419, issued on Aug 17, 2021. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Southbridge, MA. The record was last updated on Aug 17, 2021.