Individual provider · Type 1 NPI

Sheena N. Jackson

Developmental Therapist · Bowling Green, KY

NPI number 1194271502 Active

Practice location

303 White Dogwood Dr
Bowling Green, KY 42101

Call (270) 799-8662 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X201126652 (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 1194271502

Sheena N. Jackson's National Provider Identifier is 1194271502, issued on Aug 27, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bowling Green, KY. The record was last updated on Aug 29, 2018.