Individual provider · Type 1 NPI

Lisa Marie Johnson

Developmental Therapist · Lynn, MA

NPI number 1376731265 Active

Practice location

103 Johnson St
Lynn, MA 01902-4001

Call (781) 593-2727 Map

Fax (781) 593-2524

Mailing address

108 Woodlawn St
Lynn, MA 01904-2865

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 1376731265

Lisa Marie Johnson's National Provider Identifier is 1376731265, issued on Oct 5, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lynn, MA. The record was last updated on Oct 5, 2007.