Individual provider · Type 1 NPI
Marcia Lynn Wagoner
Developmental Therapist · Loogootee, IN
Practice location
247 Country Ct
Loogootee, IN 47553-5199
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…
About NPI 1629552401
Marcia Lynn Wagoner's National Provider Identifier is 1629552401, issued on Sep 18, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Loogootee, IN. The record was last updated on Sep 18, 2018.