Individual provider · Type 1 NPI

Maranda Jane St. John

Developmental Therapist · Somerset, KY

NPI number 1700158565 Active

Practice location

127 Old Monticello St
Somerset, KY 42501-2357

Call (606) 271-7878 Map

Fax (606) 678-2723

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X201132385 (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…

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About NPI 1700158565

Maranda Jane St. John's National Provider Identifier is 1700158565, issued on Feb 8, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Somerset, KY. The record was last updated on Feb 25, 2013.