Individual
CHERYL MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. E.C.E.
Contact information
Practice address
18 BARTLEY ST # 2, WAKEFIELD, MA 01880-3104
(781) 245-2410
Mailing address
375 FORTUNE BLVD, MILFORD, MA 01757-1723
(508) 473-3422
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
20216
MA
Other
Enumeration date
08/29/2022
Last updated
09/12/2022
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