Individual provider · Type 1 NPI

Shannon Rae Pippin

Developmental Therapist · Bradenton, FL

NPI number 1003064858 Active

Practice location

5512 37th Ave E
Bradenton, FL 34208-6825

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1003064858

Shannon Rae Pippin's National Provider Identifier is 1003064858, issued on Sep 5, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bradenton, FL. The record was last updated on Aug 29, 2014.