Individual provider · Type 1 NPI

Elizabeth Joy Wagner, MAT-IECE

Developmental Therapist · Lexington, KY

NPI number 1083511844 Active

Practice location

1305 Little Pigeon Ct
Lexington, KY 40515-1062

Call (859) 200-7226 Map

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 1083511844

Elizabeth Joy Wagner, MAT-IECE's National Provider Identifier is 1083511844, issued on Oct 23, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lexington, KY. The record was last updated on Oct 23, 2026.