Individual provider · Type 1 NPI

Pamela Lawson Wise

Developmental Therapist · Merritt Island, FL

NPI number 1679973010 Active

Practice location

1460 Holiday Blvd
Merritt Island, FL 32952-5537

Other practice locations

  • 1460 Holiday Blvd, Merritt Island, FL 32952-5537 · (704) 941-4592

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1679973010

Pamela Lawson Wise's National Provider Identifier is 1679973010, issued on Sep 3, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Merritt Island, FL. The record was last updated on Apr 22, 2022.