Individual provider · Type 1 NPI
Ashley Pettaway, M.S
Developmental Therapist · Lake Mary, FL
Practice location
1050 Regal Pointe Ter, Apt 206
Lake Mary, FL 32746-2028
Mailing address
247 Fairfield Dr
Sanford, FL 32771-6817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| 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…
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About NPI 1962878694
Ashley Pettaway, M.S's National Provider Identifier is 1962878694, issued on Aug 17, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lake Mary, FL. The record was last updated on Jan 16, 2022.