Individual provider · Type 1 NPI

Autumn Lee Smith

Developmental Therapist · Greentown, IN

NPI number 1043787971 Active

Practice location

9909 E 100 S
Greentown, IN 46936-9163

Fax (765) 628-3639

Mailing address

6944 Lilac Rd
Plymouth, IN 46563-9504

Specialties and licenses

TaxonomyCodeLicense
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 1043787971

Autumn Lee Smith's National Provider Identifier is 1043787971, issued on Oct 29, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Greentown, IN. The record was last updated on Oct 29, 2018.