Individual provider · Type 1 NPI

Theresa Marie Goodwin Banzhaf, M. ED.

Developmental Therapist · Merrimac, MA

NPI number 1457773665 Active

Practice location

13 Summer St
Merrimac, MA 01860-1430

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XDESE 445692 (MA)

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…

About NPI 1457773665

Theresa Marie Goodwin Banzhaf, M. ED.'s National Provider Identifier is 1457773665, issued on Jan 8, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Merrimac, MA. The record was last updated on Jan 8, 2014.