Individual provider · Type 1 NPI

Larissa Raye Berty

Developmental Therapist · Indianapolis, IN

NPI number 1750865333 Active

Practice location

7478 Shadeland Station Way
Indianapolis, IN 46256-3925

Call (317) 288-7606 Map

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 1750865333

Larissa Raye Berty's National Provider Identifier is 1750865333, issued on Sep 20, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 20, 2018.