Individual provider · Type 1 NPI

Jennifer Ellen Tisdell

Developmental Therapist · South Hadley, MA

NPI number 1467634683 Active

Practice location

30 Old Lyman Rd
South Hadley, MA 01075-2630

Call (413) 533-7140 Map

Mailing address

18 Keefe Ave
Holyoke, MA 01040-2213

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XS60873821 (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…

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About NPI 1467634683

Jennifer Ellen Tisdell's National Provider Identifier is 1467634683, issued on Nov 29, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in South Hadley, MA. The record was last updated on Nov 29, 2007.