Individual provider · Type 1 NPI

Shanice Dianne Richardson

Developmental Therapist · Rocky Mount, NC

NPI number 1295572097 Active

Practice location

6733 Reedy Branch Rd
Rocky Mount, NC 27803-8427

Other practice locations

  • 727 N Grace St, Rocky Mount, NC 27804-4842 · (252) 450-9008
  • 909 N Parker St, Elm City, NC 27822 · (252) 236-3000

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
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…

About NPI 1295572097

Shanice Dianne Richardson's National Provider Identifier is 1295572097, issued on Jul 10, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Rocky Mount, NC. The record was last updated on Jul 24, 2026.