Karen Jay Brocksmith, DS
Individual provider Active NPI Developmental Therapist · Gardner, MA
NPI 1669974960 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1669974960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 31 Lake St
Gardner, MA 01440-3879 - Phone
- (978) 632-4432
- NPI assigned
- Mar 2, 2018
- 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
31 Lake St
Gardner, MA 01440-3879
Mailing address
31 Lake St
Gardner, MA 01440-3879
Phone (978) 632-4432
Other providers in Gardner, MA
- Peter Brassard
- Shauna Brierly
- Sarah Agatha Briggs
- Kirsten Marie Bright
- Brightleaf Behavioral Support
- Chrystal Brogna
- Mark Lawrence Brooks
- Nancy Metra Brooks
- Nicolle Brooks
- Rachael Brow
All providers in Gardner, 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 Jun 16, 2018. 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.