Nicole Bacon, BS

NPI #1831375955 in Springfield, Massachusetts

Provider Information

NPI Number: 1831375955
Entity Type: Individual
Name: Nicole Bacon, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Credential: BS
Enumeration Date: Jan 18, 2008
Last Updated: Jan 18, 2008

Practice Location

Address: 160 HIGH ST
City: Springfield
State: Massachusetts
ZIP Code: 01105-1376
Phone: (413) 739-3954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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