Individual provider · Type 1 NPI
Diana Rose Sullivan
Developmental Therapist · Pittsfield, MA
Practice location
283 Pomeroy Ave
Pittsfield, MA 01201-6416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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 1447513981
Diana Rose Sullivan's National Provider Identifier is 1447513981, issued on Jun 20, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pittsfield, MA. The record was last updated on Jun 20, 2012.