Joni Bassett

Individual provider Active NPI Developmental Therapist · Newburgh, IN

NPI 1497592604 · NPPES record last updated Jul 15, 2024

Key facts

NPI
1497592604
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
6255 Pfafflin Lake Blvd
Newburgh, IN 47630-1872
Phone
(270) 217-8862
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X IN Yes

Addresses

Primary practice location

6255 Pfafflin Lake Blvd
Newburgh, IN 47630-1872

Mailing address

6255 Pfafflin Lake Blvd
Newburgh, IN 47630-1872
Phone (270) 217-8862

Other providers in Newburgh, IN

All providers in Newburgh, IN · Developmental Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.