Individual provider · Type 1 NPI

Madison Glenn

Developmental Therapist · Greenwood, IN

NPI number 1740752146 Active

Practice location

1701 Library Blvd
Greenwood, IN 46142-1567

Mailing address

109 E Chestnut St
Brazil, IN 47834-1703

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 1740752146

Madison Glenn's National Provider Identifier is 1740752146, issued on Dec 23, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Greenwood, IN. The record was last updated on Dec 23, 2018.