Individual provider · Type 1 NPI

Krongkan Bovornkeeratiroj

Developmental Therapist · South Hadley, MA

NPI number 1205667722 Active

Practice location

30 Old Lyman Rd
South Hadley, MA 01075-2630

Call (413) 533-7140 Map

Mailing address

82 Russell St
Hadley, MA 01035-9507

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 1205667722

Krongkan Bovornkeeratiroj's National Provider Identifier is 1205667722, issued on Aug 8, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in South Hadley, MA. The record was last updated on Aug 8, 2024.