Individual provider · Type 1 NPI
Melissa Lee Difazzio, MT-BC
Developmental Therapist · Bartlett, IL
Practice location
1128 Independence Dr
Bartlett, IL 60103-5720
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 1629207683
Melissa Lee Difazzio, MT-BC's National Provider Identifier is 1629207683, issued on Jul 10, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bartlett, IL. The record was last updated on Jul 10, 2009.