Individual provider · Type 1 NPI

Bennet George Jefferson

Developmental Therapist · Raleigh, NC

NPI number 1962852319 Active

Practice location

421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000

Call (888) 880-9270 Map

Mailing address

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817

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 1962852319

Bennet George Jefferson's National Provider Identifier is 1962852319, issued on Jun 16, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Raleigh, NC. The record was last updated on Jun 16, 2016.