Individual provider · Type 1 NPI
Stephanie T. Ingram, D.I
Developmental Therapist · Boaz, KY
Practice location
611 House Rd
Boaz, KY 42027-8129
Fax (270) 851-3885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 200403130 (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…
About NPI 1144421371
Stephanie T. Ingram, D.I's National Provider Identifier is 1144421371, issued on May 28, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Boaz, KY. The record was last updated on May 25, 2013.