Individual provider · Type 1 NPI

Susan Fuqua Fenwick

Developmental Therapist · Philpot, KY

NPI number 1710532999 Active

Practice location

3473 London Pike
Philpot, KY 42366-9344

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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…

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About NPI 1710532999

Susan Fuqua Fenwick's National Provider Identifier is 1710532999, issued on Aug 5, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Philpot, KY. The record was last updated on Aug 5, 2019.