Individual provider · Type 1 NPI

Elizabeth Grace Cooke, BS, BIS, CS

Developmental Therapist · Lewiston, ID

NPI number 1790482693 Active

Practice location

1519 Alder Ave
Lewiston, ID 83501-5815

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 1790482693

Elizabeth Grace Cooke, BS, BIS, CS's National Provider Identifier is 1790482693, issued on Feb 10, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lewiston, ID. The record was last updated on Feb 10, 2023.