Individual provider · Type 1 NPI

Amanda Lynn Mattera

Developmental Therapist · Crestwood, KY

NPI number 1730888587 Active

Practice location

5806 Summit View Ln
Crestwood, KY 40014-9660

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 1730888587

Amanda Lynn Mattera's National Provider Identifier is 1730888587, issued on Mar 1, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Crestwood, KY. The record was last updated on Jul 28, 2025.