Individual provider · Type 1 NPI
Tara M. Jackson
Developmental Therapist · Auburn, KY
Practice location
104 G Corum Ln
Auburn, KY 42206-5000
Fax (270) 542-2519
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…
Another provider at this address
Other developmental therapist providers in Auburn
About NPI 1578784245
Tara M. Jackson's National Provider Identifier is 1578784245, issued on May 1, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Auburn, KY. The record was last updated on Apr 29, 2020.