Individual provider · Type 1 NPI
Michelle A. Polvino, MS;ED.
Developmental Therapist · Fredonia, NY
Practice location
4229 Osborne Rd
Fredonia, NY 14063-9527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 184317871 (NY) |
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 1992018501
Michelle A. Polvino, MS;ED.'s National Provider Identifier is 1992018501, issued on Jul 23, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fredonia, NY. The record was last updated on Jul 23, 2010.