Individual provider · Type 1 NPI

Jennifer Marcum Hagan

Developmental Therapist · Bardstown, KY

NPI number 1205394129 Active

Practice location

1109 Metalwood Dr
Bardstown, KY 40004-2635

Call (502) 331-2680 Map

Mailing address

104 Westview Dr
Bardstown, KY 40004-1834

Specialties and licenses

Taxonomy	Code	License
Developmental Therapist Primary	222Q00000X	200400860 (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 1205394129

Jennifer Marcum Hagan's National Provider Identifier is 1205394129, issued on Mar 10, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bardstown, KY. The record was last updated on Mar 10, 2019.