Individual provider · Type 1 NPI

Michael Louis Fidalgo-Pennes

Developmental Therapist · Milford, MA

NPI number 1144820374 Active

Practice location

321 Fortune Blvd
Milford, MA 01757-1750

Call (508) 478-0207 Map

Mailing address

92 Avery St
Springfield, MA 01119-1106

Other practice locations

  • 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 · (877) 418-2978
  • 249 Exchange St, Chicopee, MA 01013-1679 · (413) 540-1234

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
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…

1,540 other providers at this address

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About NPI 1144820374

Michael Louis Fidalgo-Pennes's National Provider Identifier is 1144820374, issued on Oct 27, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Milford, MA. The record was last updated on Jun 2, 2022.