Individual provider · Type 1 NPI

Pamela Fay Halstead, TVI/COMS

Developmental Therapist · Louisville, KY

NPI number 1114679768 Active

Practice location

1906 Goldsmith Ln
Louisville, KY 40218-2066

Call (502) 498-2934 Map

Mailing address

409 Tom Taylor Rd
Corbin, KY 40701-8876

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X000038777 (KY)

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 1114679768

Pamela Fay Halstead, TVI/COMS's National Provider Identifier is 1114679768, issued on Jan 25, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Louisville, KY. The record was last updated on Jan 25, 2022.