Individual provider · Type 1 NPI
Lisa Jo Justice
Developmental Therapist · Kimper, KY
Practice location
1149 Sunshine Ln
Kimper, KY 41539-6455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 200002555 (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…
About NPI 1275969933
Lisa Jo Justice's National Provider Identifier is 1275969933, issued on Sep 25, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Kimper, KY. The record was last updated on Sep 25, 2013.