Individual provider · Type 1 NPI
Patrice Denise Gantt, M.ED
Developmental Therapist · Pompano Beach,, FL
Practice location
2708 NE 14th Street, Suite 5,, Butterfly Effects
Pompano Beach,, FL 33064
Mailing address
500 Shelton Rd
Hampton, VA 23663-2110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 222Q00000X (VA) |
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…
About NPI 1710248257
Patrice Denise Gantt, M.ED's National Provider Identifier is 1710248257, issued on May 31, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pompano Beach,, FL. The record was last updated on May 31, 2012.