Individual provider · Type 1 NPI

Misty Dawn Whitaker, B.A. DEGREE

Developmental Therapist · Lake City, FL

NPI number 1164762282 Active

Practice location

21263 33rd Rd
Lake City, FL 32024-2431

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 1164762282

Misty Dawn Whitaker, B.A. DEGREE's National Provider Identifier is 1164762282, issued on Feb 26, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lake City, FL. The record was last updated on Feb 26, 2013.