Stephanie T Ingram in Boaz - Developmental Therapist

Stephanie T Ingram - NPI 1144421371

Stephanie T Ingram is a Developmental Therapist in Boaz, Kentucky. Stephanie T Ingram practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Stephanie T Ingram is 1144421371. The last update date is 2013-05-25.

Stephanie T Ingram's current location address is 611 House Rd, Boaz, Kentucky. You can contact this provider via phone number 2709941804 and fax number 2708513885. The mailing address for Stephanie T Ingram is 611 House Rd, Boaz, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie T Ingram
Address 611 House Rd, Boaz, Kentucky
Phone Number 2709941804
Fax Number 2708513885
Sole Proprietor Y
Credentials D.I

NPI Number Detail

NPI Number 1144421371
Provider Enumeration Date 2007-05-28
Last Updated Date 2013-05-25

Provider Mailing Address Detail

Address 611 House Rd
City Boaz
State Kentucky (KY)
Post Code 420278129
Phone Number 2709941804
Fax Number 2708513885

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Licence No 200403130
Definition:
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

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FAQs about Stephanie T Ingram

What is the unique 10-digit identification code assigned to Stephanie T Ingram by the Centers for Medicare & Medicaid Services?

The Stephanie T Ingram has been issued the NPI (National Provider Identifier) 1144421371, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Stephanie T Ingram is geographically located?

The Stephanie T Ingram is physically situated at the following location: 611 House Rd, Boaz, KY, 420278129.

What is Stephanie T Ingram's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephanie T Ingram's area of specialization is Developmental Therapist, and the corresponding taxonomy code that categorizes this field of practice is 222Q00000X.

On what date was the 1144421371 assigned to Stephanie T Ingram?

The Stephanie T Ingram was issued its 1144421371 on 2007-05-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Stephanie T Ingram most recently updated or revised?

The information pertaining to Stephanie T Ingram, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-25.

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