Individual provider · Type 1 NPI
Melena Outlaw, BA
Developmental Therapist · Jenkins, KY
Practice location
457 Bentley Loop
Jenkins, KY 41537-9004
Fax (606) 832-0397
Mailing address
PO Box 1403
Jenkins, KY 41537-1403
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 1790814788
Melena Outlaw, BA's National Provider Identifier is 1790814788, issued on Mar 5, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jenkins, KY. The record was last updated on Oct 15, 2014.