Individual provider · Type 1 NPI

Julianna Marie Fagan

Developmental Therapist · Malden, MA

NPI number 1649917543 Active

Practice location

214 Commercial St
Malden, MA 02148-6716

Call (781) 321-0645 Map

Specialties and licenses

TaxonomyCodeLicense
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 1649917543

Julianna Marie Fagan's National Provider Identifier is 1649917543, issued on May 13, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Malden, MA. The record was last updated on May 13, 2022.