Individual provider · Type 1 NPI

Marissa Guagliardo

Developmental Therapist · Brandon, FL

NPI number 1700190733 Active

Practice location

602 Vonderburg Dr, Suite 201
Brandon, FL 33511-5900

Call (813) 653-1149 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801XSI1840 (FL)
Developmental Therapist Primary 222Q00000XSI1840 (FL)

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 1700190733

Marissa Guagliardo's National Provider Identifier is 1700190733, issued on Aug 2, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Brandon, FL. The record was last updated on Oct 22, 2012.