Individual provider · Type 1 NPI
Kyle Hannan
Developmental Therapist · Gretna, LA
Practice location
326 Brett Dr
Gretna, LA 70056-7214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 010133001 (LA) |
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 1932545845
Kyle Hannan's National Provider Identifier is 1932545845, issued on May 18, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Gretna, LA. The record was last updated on May 18, 2013.