Individual provider · Type 1 NPI
Yvonne Park
Developmental Therapist · Churubusco, IN
Practice location
5247 E 600 S-57
Churubusco, IN 46723-9111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist | 222Q00000X | None listed |
| 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 1912558909
Yvonne Park's National Provider Identifier is 1912558909, issued on Sep 23, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Churubusco, IN. The record was last updated on Sep 23, 2019.