Individual provider · Type 1 NPI

Shelley Henley, ITDS

Developmental Therapist · Fort Walton Beach, FL

NPI number 1255658761 Active

Practice location

681 Jerrells Ave
Fort Walton Beach, FL 32547-3187

Call (850) 797-0550 Map

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 1255658761

Shelley Henley, ITDS's National Provider Identifier is 1255658761, issued on Apr 23, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Apr 23, 2010.