Individual provider · Type 1 NPI

Kerry Dianne Minderman

Developmental Therapist · La Grange, KY

NPI number 1942861117 Active

Practice location

4603 Timberwalk Ct
La Grange, KY 40031-6746

Call (703) 864-6695 Map

Mailing address

438 Arlington Meadows Dr
Fisherville, KY 40023-7751

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 1942861117

Kerry Dianne Minderman's National Provider Identifier is 1942861117, issued on Jun 27, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in La Grange, KY. The record was last updated on Apr 8, 2020.