Individual provider · Type 1 NPI
Carly Patrice Rieck, MSED
Developmental Therapist · Coram, NY
Practice location
405 Avalon Pines Dr
Coram, NY 11727-5129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 364369091 (NY) |
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 1942971049
Carly Patrice Rieck, MSED's National Provider Identifier is 1942971049, issued on Sep 28, 2021. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Coram, NY. The record was last updated on Sep 28, 2021.