Individual provider · Type 1 NPI
Lucinda Charlotte Bishop Dimaggio, BIS
Developmental Therapist · Osburn, ID
Practice location
1257 E Mullan Ave
Osburn, ID 83849-0820
Mailing address
PO Box 1155
Osburn, ID 83849-1155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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…
About NPI 1205667300
Lucinda Charlotte Bishop Dimaggio, BIS's National Provider Identifier is 1205667300, issued on Aug 9, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Osburn, ID. The record was last updated on Aug 9, 2024.