Individual provider · Type 1 NPI

Vanessa Lynne Southard

Developmental Therapist · Pompano Beach, FL

NPI number 1134415326 Active

Practice location

2708 NE 14th St, Suite 5
Pompano Beach, FL 33062-3565

Mailing address

1610 S Avenida Sirio
Tucson, AZ 85710-5349

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 1134415326

Vanessa Lynne Southard's National Provider Identifier is 1134415326, issued on Jun 25, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pompano Beach, FL. The record was last updated on Jun 25, 2011.