Individual provider · Type 1 NPI
Jessica Sproul I
Developmental Therapist · Nampa, ID
Practice location
10395 Mckinley St
Nampa, ID 83687-5079
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…
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About NPI 1639613805
Jessica Sproul I's National Provider Identifier is 1639613805, issued on Dec 7, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Nampa, ID. The record was last updated on Dec 7, 2016.