Individual provider · Type 1 NPI
Jennifer M. Sullivan
Developmental Therapist · Tappan, NY
Practice location
88 Slocum Ave
Tappan, NY 10983-2610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Other Specialist/Technologist | 246Z00000X | None listed |
| 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 1720470552
Jennifer M. Sullivan's National Provider Identifier is 1720470552, issued on Mar 3, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Tappan, NY. The record was last updated on Sep 21, 2017.