Individual provider · Type 1 NPI

Christie Lynne Wiley

Developmental Therapist · Jacksonville, FL

NPI number 1063934834 Active

Practice location

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618

Fax (904) 886-3297

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 1063934834

Christie Lynne Wiley's National Provider Identifier is 1063934834, issued on Jul 12, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 21, 2022.