Jacquelyn Moulton
Developmental Therapist in Danvers, MA. Individual provider (NPI-1).
NPI number1750734331
StatusActive
Last updated in NPPESJul 19, 2016
Details
- NPI
- 1750734331
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Moulton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2016
- Last updated
- Jul 19, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
6 Southside RdDanvers, MA 01923-1409
Phone 978-762-8352
Mailing address
6 Southside RdDanvers, MA 01923-1409
Phone 978-762-8352
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 494 Developmental Therapist providers in Danvers · All 2,369 providers in Danvers
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