Individual provider · Type 1 NPI
Erica Russo
Developmental Therapist · Milford, MA
Practice location
321 Fortune Blvd, Beacon Services
Milford, MA 02130
Mailing address
39 South St
Kingston, MA 02364-1812
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 1962954412
Erica Russo's National Provider Identifier is 1962954412, issued on Nov 1, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Milford, MA. The record was last updated on Nov 7, 2016.