Individual provider · Type 1 NPI

Holly Lynn Theriault

Developmental Therapist · Weymouth, MA

NPI number 1710747290 Active

Practice location

574 Main St
Weymouth, MA 02190-1818

Mailing address

62 Aberdeen Dr
Scituate, MA 02066-2420

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 1710747290

Holly Lynn Theriault's National Provider Identifier is 1710747290, issued on Mar 20, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Weymouth, MA. The record was last updated on Mar 20, 2024.