Individual provider · Type 1 NPI

Samantha Sue Joley

Developmental Therapist · Fort Wayne, IN

NPI number 1356808687 Active

Practice location

9426 Lima Rd Ste A
Fort Wayne, IN 46818-8681

Call (260) 413-3235 Map

Other practice locations

  • 1824 Romane Dr, Fort Wayne, IN 46808-1878 · (269) 413-3235

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 1356808687

Samantha Sue Joley's National Provider Identifier is 1356808687, issued on Feb 22, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 22, 2019.