Individual provider · Type 1 NPI

Carmen Michelle Clark

Developmental Therapist · Crestwood, KY

NPI number 1124463450 Active

Practice location

7302 Meadow Rd
Crestwood, KY 40014-9453

Call (502) 241-5159 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 1124463450

Carmen Michelle Clark's National Provider Identifier is 1124463450, issued on Apr 30, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Crestwood, KY. The record was last updated on Apr 30, 2013.