Individual provider · Type 1 NPI
Cristy Lynn Roark, DI
Developmental Therapist · London, KY
Practice location
3086 Pine Top Rd
London, KY 40741-9247
Fax (606) 877-9712
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…
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About NPI 1124206172
Cristy Lynn Roark, DI's National Provider Identifier is 1124206172, issued on Feb 1, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in London, KY. The record was last updated on Feb 1, 2008.