Individual provider · Type 1 NPI
Teresa Dianne McCorkle
Developmental Therapist · Munfordville, KY
Practice location
52 Bragg Ave
Munfordville, KY 42765-9222
Fax (844) 688-4227
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 1861982332
Teresa Dianne McCorkle's National Provider Identifier is 1861982332, issued on May 10, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Munfordville, KY. The record was last updated on May 10, 2018.