Individual provider · Type 1 NPI
Kelley A. Phipps
Developmental Therapist · Fruitland, ID
Practice location
1209 NW 19th St
Fruitland, ID 83619-2016
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…
About NPI 1831442649
Kelley A. Phipps's National Provider Identifier is 1831442649, issued on Oct 17, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fruitland, ID. The record was last updated on Oct 17, 2012.