Individual provider · Type 1 NPI

Shannon Graham

Developmental Therapist · Virginia Beach, VA

NPI number 1750738795 Active

Practice location

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332

Call (888) 880-9270 Map

Mailing address

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817

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 1750738795

Shannon Graham's National Provider Identifier is 1750738795, issued on May 19, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Virginia Beach, VA. The record was last updated on May 19, 2016.