Individual provider · Type 1 NPI

Tracie Mara Gagne

Developmental Therapist · Springfield, MA

NPI number 1164724282 Active

Practice location

235 Chestnut St
Springfield, MA 01103-1100

Call (413) 734-4978 Map

Mailing address

76 Village Drive, Apt. 331
Wethersfield, CT 06109

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X1396871067 (MA)

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 1164724282

Tracie Mara Gagne's National Provider Identifier is 1164724282, issued on Nov 22, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Springfield, MA. The record was last updated on Nov 22, 2010.