Individual provider · Type 1 NPI

Elissa Locker

Developmental Therapist · Benton, KY

NPI number 1922456102 Active

Practice location

114 Greenwood Pl
Benton, KY 42025-7640

Mailing address

3648 US Highway 68 E
Benton, KY 42025-8048

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 1922456102

Elissa Locker's National Provider Identifier is 1922456102, issued on May 29, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Benton, KY. The record was last updated on May 29, 2016.