Individual provider · Type 1 NPI

Paula Tiffany Nicole Smallwood

Developmental Therapist · Leitchfield, KY

NPI number 1164837357 Active

Practice location

109 Hillview Dr
Leitchfield, KY 42754-1807

Specialties and licenses

Taxonomy	Code	License
Developmental Therapist Primary	222Q00000X	201154945 (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…

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About NPI 1164837357

Paula Tiffany Nicole Smallwood's National Provider Identifier is 1164837357, issued on Jun 25, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Leitchfield, KY. The record was last updated on Sep 21, 2022.