Individual provider · Type 1 NPI

Jennifer Barrett Modugno

Developmental Therapist · Syracuse, NY

NPI number 1295208296 Active

Practice location

1045 James St
Syracuse, NY 13203-2730

Call (315) 425-1004 Map

Fax (315) 422-4855

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X1280083181 (NY)

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 1295208296

Jennifer Barrett Modugno's National Provider Identifier is 1295208296, issued on Jan 2, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Syracuse, NY. The record was last updated on Jan 2, 2019.