Individual provider · Type 1 NPI
Susan G. Goben
Developmental Therapist · Evansville, IN
Practice location
11430 Kestrel Ct
Evansville, IN 47725-9796
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 1669957239
Susan G. Goben's National Provider Identifier is 1669957239, issued on Sep 30, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Evansville, IN. The record was last updated on Sep 30, 2018.