Individual provider · Type 1 NPI

Stacie Michelle Cornwell, MSED

Developmental Therapist · Benton, AR

NPI number 1255868774 Active

Practice location

1306 Military Rd Ste 1
Benton, AR 72015-2732

Fax (501) 408-4699

Mailing address

2915 Saint Andrews Dr
Benton, AR 72019-6874

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 1255868774

Stacie Michelle Cornwell, MSED's National Provider Identifier is 1255868774, issued on May 15, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Benton, AR. The record was last updated on May 15, 2017.