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 |
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Address | 611 House Rd, Boaz, Kentucky |
Phone Number | 2709941804 |
Fax Number | 2708513885 |
Sole Proprietor | Y |
Credentials | D.I |
NPI Number Detail
NPI Number | 1144421371 |
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Provider Enumeration Date | 2007-05-28 |
Last Updated Date | 2013-05-25 |
Provider Mailing Address Detail
Address | 611 House Rd |
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City | Boaz |
State | Kentucky (KY) |
Post Code | 420278129 |
Phone Number | 2709941804 |
Fax Number | 2708513885 |
Provider's Primary Taxonomy Detail
Speciality | Developmental Therapist |
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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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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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