Individual provider · Type 1 NPI

Jacqueline Rose Fugate

Developmental Therapist · Hazard, KY

NPI number 1629386503 Active

Practice location

117 3rd St
Hazard, KY 41701-2159

Call (606) 233-1943 Map

Specialties and licenses

Taxonomy	Code	License
Developmental Therapist Primary	222Q00000X	000079322 (KY)

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 1629386503

Jacqueline Rose Fugate's National Provider Identifier is 1629386503, issued on Sep 14, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Hazard, KY. The record was last updated on Mar 25, 2014.