Individual provider · Type 1 NPI
Caitlin Broderick
Developmental Therapist · Waltham, MA
Practice location
41 Lowell St
Waltham, MA 02453-5250
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 1912188871
Caitlin Broderick's National Provider Identifier is 1912188871, issued on Nov 20, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Waltham, MA. The record was last updated on Nov 20, 2007.