Melena Outlaw in Jenkins - Developmental Therapist

Melena Outlaw - NPI 1790814788

Melena Outlaw is a Developmental Therapist in Jenkins, Kentucky. Melena Outlaw practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Melena Outlaw is 1790814788. The last update date is 2014-10-15.

Melena Outlaw's current location address is Po Box 1403, Jenkins, Kentucky. You can contact this provider via phone number 6068321473 and fax number 6068320397. The mailing address for Melena Outlaw is Po Box 1403, Jenkins, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Melena Outlaw
Address Po Box 1403, Jenkins, Kentucky
Phone Number 6068321473
Fax Number 6068320397
Sole Proprietor Y
Credentials BA

NPI Number Detail

NPI Number 1790814788
Provider Enumeration Date 2007-03-05
Last Updated Date 2014-10-15

Provider Mailing Address Detail

Address Po Box 1403
City Jenkins
State Kentucky (KY)
Post Code 415371403
Phone Number 6068321473
Fax Number 6068320397

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
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 Melena Outlaw

What is the unique 10-digit identification code issued to Melena Outlaw by the Centers for Medicare & Medicaid Services?

The Melena Outlaw has been assigned the NPI (National Provider Identifier) 1790814788 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Melena Outlaw's physical address?

The Melena Outlaw is physically located at Po Box 1403, in the city of Jenkins, KY, with the postal code 415371403.

What is Melena Outlaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Melena Outlaw's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.

When did the Melena Outlaw receive its 1790814788?

The Melena Outlaw was issued its 1790814788 on 2007-03-05, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Melena Outlaw most recently updated or revised?

The details related to Melena Outlaw, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-15.

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