Individual provider · Type 1 NPI
Shanon Diaz, MED
Developmental Therapist · Plymouth, MA
Practice location
50 Russell St Apt 2A
Plymouth, MA 02360-3974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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…
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About NPI 1831565910
Shanon Diaz, MED's National Provider Identifier is 1831565910, issued on Aug 12, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Plymouth, MA. The record was last updated on Aug 12, 2015.