Julie Maria Leezer, DEVELOPMENTAL THERAP

Individual provider Active NPI Developmental Therapist · Georgetown, IN

NPI 1710015946 · NPPES record last updated Mar 21, 2013

Key facts

NPI
1710015946
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
9701 Cooks Mill Rd
Georgetown, IN 47122-9566
Phone
(812) 989-2247
NPI assigned
Mar 1, 2007
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 Yes

Addresses

Primary practice location

9701 Cooks Mill Rd
Georgetown, IN 47122-9566

Mailing address

9701 Cooks Mill Rd
Georgetown, IN 47122-9566
Phone (812) 989-2447

Other providers in Georgetown, IN

All providers in Georgetown, IN · Developmental Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.