Individual provider · Type 1 NPI
Kimberly Lynn Stacy, M.ED. SP. ED.
Developmental Therapist · Taneytown, MD
Practice location
11 Dunkle Ct
Taneytown, MD 21787-2317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 3889 (MD) |
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 1649830506
Kimberly Lynn Stacy, M.ED. SP. ED.'s National Provider Identifier is 1649830506, issued on Jun 13, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Taneytown, MD. The record was last updated on Jun 13, 2019.