Individual provider · Type 1 NPI

Estefania Retallick

Developmental Therapist · Louisville, KY

NPI number 1114277092 Active

Practice location

3717 Taylorsville Rd, 1st Floor
Louisville, KY 40220-1333

Call (502) 589-8600 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
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…

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About NPI 1114277092

Estefania Retallick's National Provider Identifier is 1114277092, issued on Sep 18, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Louisville, KY. The record was last updated on Jun 3, 2024.