Individual provider · Type 1 NPI

Tangela Ellis

Developmental Therapist · Raleigh, NC

NPI number 1841663713 Active

Practice location

4030 Wake Forest Rd, Ste 349
Raleigh, NC 27609-6800

Call (888) 880-9270 Map

Mailing address

500 Fairway Dr, Suite 102
Deerfield Beach, FL 33441-1814

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 1841663713

Tangela Ellis's National Provider Identifier is 1841663713, issued on Nov 2, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Raleigh, NC. The record was last updated on Nov 2, 2015.