Individual provider · Type 1 NPI

Ellen A. Fortin, ED. CEIS

Developmental Therapist · Mansfield, MA

NPI number 1144401407 Active

Practice location

38 Marjac Rd
Mansfield, MA 02048-3448

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 1144401407

Ellen A. Fortin, ED. CEIS's National Provider Identifier is 1144401407, issued on Nov 15, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Mansfield, MA. The record was last updated on Nov 15, 2007.