Individual provider · Type 1 NPI
Keyara Samuel
Developmental Therapist · Lincolnton, NC
Practice location
1104 S Aspen St
Lincolnton, NC 28092-3112
Mailing address
321 Fortune Blvd
Milford, MA 01757-1750
Other practice locations
- 321 Fortune Blvd, Milford, MA 01757-1750 · (508) 478-0207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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…
About NPI 1710480470
Keyara Samuel's National Provider Identifier is 1710480470, issued on Mar 8, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lincolnton, NC. The record was last updated on May 5, 2025.