Individual provider · Type 1 NPI

Carla Bergeron

Developmental Therapist · Lowell, MA

NPI number 1659553261 Active

Practice location

126 Phoenix Ave Bldg 2
Lowell, MA 01852-4931

Mailing address

16 Middlesex St Apt 1
North Chelmsford, MA 01863-1571

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XS41308265 (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 1659553261

Carla Bergeron's National Provider Identifier is 1659553261, issued on Dec 5, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lowell, MA. The record was last updated on Dec 5, 2007.