Individual provider · Type 1 NPI

Jenna Lupse

Developmental Therapist · Orange Park, FL

NPI number 1184358772 Active

Practice location

165 Wells Rd Ste 203
Orange Park, FL 32073-3036

Call (904) 269-3522 Map

Mailing address

3468 Canyon Falls Dr
Green Cove Springs, FL 32043-9230

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 1184358772

Jenna Lupse's National Provider Identifier is 1184358772, issued on Jul 11, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Orange Park, FL. The record was last updated on Jul 11, 2022.