Individual provider · Type 1 NPI
Kimberly Kaye Gooch
Developmental Therapist · Mayfield, KY
Practice location
3907 State Route 303
Mayfield, KY 42066
Fax (844) 688-4227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 200406489 (KY) |
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…
Other developmental therapist providers in Mayfield
About NPI 1699288936
Kimberly Kaye Gooch's National Provider Identifier is 1699288936, issued on Nov 8, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Mayfield, KY. The record was last updated on May 17, 2018.