Maria Charlton
Individual provider Active NPI Developmental Therapist · Southbridge, MA
NPI 1346776267 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1346776267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386 - Phone
- (508) 765-0292
- Fax
- (508) 765-0294
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Donovan Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
Mailing address
486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
Phone (508) 765-0292
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All providers in Southbridge, MA · Developmental Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.