Individual provider · Type 1 NPI
Stacy Clark Nishibun, M.A.E, IECE
Developmental Therapist · Franklin, KY
Practice location
400 Chapman St
Franklin, KY 42134-1647
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…
About NPI 1437484748
Stacy Clark Nishibun, M.A.E, IECE's National Provider Identifier is 1437484748, issued on Oct 5, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Franklin, KY. The record was last updated on Oct 5, 2009.