Individual provider · Type 1 NPI
Stacy Michelle Wiese-Brown
Developmental Therapist · Somerset, KY
Practice location
28 Connors Way
Somerset, KY 45203
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 1508196478
Stacy Michelle Wiese-Brown's National Provider Identifier is 1508196478, issued on Dec 28, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Somerset, KY. The record was last updated on May 12, 2014.