Individual provider · Type 1 NPI
Ketha Mead
Developmental Therapist · Moscow, ID
Practice location
1350 Troy Rd, Suite 2
Moscow, ID 83843-3995
Fax (208) 882-8575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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…
2 other providers at this address
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About NPI 1073973301
Ketha Mead's National Provider Identifier is 1073973301, issued on Feb 29, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Moscow, ID. The record was last updated on Feb 29, 2016.