Individual provider · Type 1 NPI
Kelly Costello
Developmental Therapist · Mechanicsburg, PA
Practice location
1501 Frost Rd
Mechanicsburg, PA 17055-5134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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 1295192268
Kelly Costello's National Provider Identifier is 1295192268, issued on Jan 21, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Mechanicsburg, PA. The record was last updated on Jan 21, 2016.