Individual provider · Type 1 NPI
Crystal G. Smiddy
Developmental Therapist · Jellico, TN
Practice location
286 Hatfield St
Jellico, TN 37762-2616
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 1942531850
Crystal G. Smiddy's National Provider Identifier is 1942531850, issued on Jan 18, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jellico, TN. The record was last updated on May 20, 2019.