Individual provider · Type 1 NPI

Cristie Tamar Mangrum

Developmental Therapist · Chesapeake, VA

NPI number 1982046199 Active

Practice location

3139 Fairview St Apt 202
Chesapeake, VA 23325-3219

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 1982046199

Cristie Tamar Mangrum's National Provider Identifier is 1982046199, issued on Jul 29, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chesapeake, VA. The record was last updated on Jul 29, 2013.