Melissa Lee Difazzio, MT-BC

NPI #1629207683 in Bartlett, Illinois

Provider Information

NPI Number: 1629207683
Entity Type: Individual
Name: Melissa Lee Difazzio, MT-BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: MT-BC
Enumeration Date: Jul 10, 2009
Last Updated: Jul 10, 2009

Practice Location

Address: 1128 INDEPENDENCE DR
City: Bartlett
State: Illinois
ZIP Code: 60103-5720
Phone: (630) 329-0228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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