Individual provider · Type 1 NPI

Faith Jackson

Developmental Therapist · Newport, AR

NPI number 1043094105 Active

Practice location

221 Lindley Ln
Newport, AR 72112-4954

Call (870) 523-2124 Map

Other practice locations

  • 6309 Highway 367 N, Tuckerman, AR 72473-9389 · (870) 495-3124

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed
Specialist 174400000XNone 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 1043094105

Faith Jackson's National Provider Identifier is 1043094105, issued on Aug 21, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Newport, AR. The record was last updated on Nov 17, 2023.