Individual provider · Type 1 NPI

Madison Mazzola

Developmental Therapist · Woburn, MA

NPI number 1306558804 Active

Practice location

10P Gill St
Woburn, MA 01801-1721

Mailing address

257 Cross St
Winchester, MA 01890-1142

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 1306558804

Madison Mazzola's National Provider Identifier is 1306558804, issued on Dec 16, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Woburn, MA. The record was last updated on Dec 16, 2022.