Individual provider · Type 1 NPI

Candi Renae Johnson

Developmental Therapist · Mc Kee, KY

NPI number 1700224144 Active

Practice location

87 Twin Oak Pl
Mc Kee, KY 40447-7190

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X201153621 (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 1700224144

Candi Renae Johnson's National Provider Identifier is 1700224144, issued on Jun 7, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Mc Kee, KY. The record was last updated on Jun 7, 2013.