Individual provider · Type 1 NPI
Amanda Lynn Mattera
Developmental Therapist · Crestwood, KY
Practice location
5806 Summit View Ln
Crestwood, KY 40014-9660
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…
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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.