Individual provider · Type 1 NPI
Susan Davis
Developmental Therapist · Blue Point, NY
Practice location
235 Blue Point Ave
Blue Point, NY 11715-1261
Mailing address
30 Elizabeth St
Patchogue, NY 11772-4028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 962902151 (NY) |
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 1609601830
Susan Davis's National Provider Identifier is 1609601830, issued on Sep 6, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Blue Point, NY. The record was last updated on Sep 6, 2024.