Individual provider · Type 1 NPI

Gianna Slack

Developmental Therapist · Milford, MA

NPI number 1245863620 Active

Practice location

321 Fortune Blvd
Milford, MA 01757-1750

Mailing address

27 Myrtle St
Baldwinville, MA 01436-1017

Other practice locations

  • 27 Myrtle St, Baldwinville, MA 01436-1017 · (978) 490-8157

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 1245863620

Gianna Slack's National Provider Identifier is 1245863620, issued on Feb 13, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Milford, MA. The record was last updated on Feb 13, 2020.