Nicole Amber Anderson
Individual provider Active NPI Developmental Therapist · Danvers, MA
NPI 1427615509 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1427615509
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 149 Sylvan St
Danvers, MA 01923-3564 - Phone
- (978) 552-5453
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
149 Sylvan St
Danvers, MA 01923-3564
Mailing address
320 Newbury St Apt 405
Danvers, MA 01923-1056
Phone (978) 818-5709
Other providers in Danvers, MA
- Matthew Amabello
- Marijke Ameigh
- Stephen Amoss
- Jessica C Analoro
- Christine E Anderson
- Scott Anderson
- Tamara Anderson
- Anne H Andrade
- Jennifer Andrake
- Jessica Lee Andrews
All providers in Danvers, 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 23, 2019. 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.