Individual provider · Type 1 NPI

Nicole Ann Sullivan

Developmental Therapist · Plainville, CT

NPI number 1306314927 Active

Practice location

56 W Main St
Plainville, CT 06062-1904

Call (860) 351-5407 Map

Mailing address

31 Tower Rd
Manchester, CT 06042-2830

Other practice locations

  • 345 Greenwood St Ste A, Worcester, MA 01607-1767 · (508) 363-0200

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 1306314927

Nicole Ann Sullivan's National Provider Identifier is 1306314927, issued on Nov 13, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Plainville, CT. The record was last updated on Jul 20, 2021.