Individual provider · Type 1 NPI
Mynda D'andrea
Developmental Therapist · Pompton Lakes, NJ
Practice location
21 Lakeside Ave Unit 412
Pompton Lakes, NJ 07442-1648
Mailing address
300 Main St Ste 21
Madison, NJ 07940-2369
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…
About NPI 1639878606
Mynda D'andrea's National Provider Identifier is 1639878606, issued on Feb 28, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pompton Lakes, NJ. The record was last updated on Feb 28, 2023.