Individual provider · Type 1 NPI
Montana Jade Whitaker
Developmental Therapist · Columbus, IN
Practice location
4610 25th St
Columbus, IN 47203-3239
Fax (812) 373-7616
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 1457128233
Montana Jade Whitaker's National Provider Identifier is 1457128233, issued on Dec 11, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Columbus, IN. The record was last updated on Dec 11, 2023.