Individual provider · Type 1 NPI

Jayna Lynn Wade

Developmental Therapist · Benton, KY

NPI number 1609648138 Active

Practice location

114 Greenwood Pl
Benton, KY 42025-7640

Mailing address

1286 Bethel Rd
Benton, KY 42025-8418

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1609648138

Jayna Lynn Wade's National Provider Identifier is 1609648138, issued on Oct 27, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Benton, KY. The record was last updated on Oct 27, 2023.