Individual provider · Type 1 NPI

Breanna Wardwell

Developmental Therapist · Springfield, MA

NPI number 1508351107 Active

Practice location

110 Maple St Ste 110
Springfield, MA 01105

Mailing address

345 Greenwood St Ste A
Worcester, MA 01607-1767

Other practice locations

  • 345 Greenwood St Ste A, Worcester, MA 01607-1767 · (508) 363-0200

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200XNone listed
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 1508351107

Breanna Wardwell's National Provider Identifier is 1508351107, issued on Jun 26, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Springfield, MA. The record was last updated on Aug 11, 2018.