Individual provider · Type 1 NPI

Alexa Suzanne Park, BS

Developmental Therapist · Lynn, MA

NPI number 1326253246 Active

Practice location

103 Johnson St
Lynn, MA 01902-4001

Call (781) 593-2727 Map

Fax (781) 593-2542

Mailing address

20 Stanley Rd
Lynnfield, MA 01940-1732

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 1326253246

Alexa Suzanne Park, BS's National Provider Identifier is 1326253246, issued on May 14, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lynn, MA. The record was last updated on Jul 8, 2007.