Organization
J. IVERSON DEVELOPMENTAL CENTER
Active
Other names
Family, Infant and Preschool Program
Organization subpart
No
Provider details
NPI number
Authorized official
TERI DARLENE CORNETT BSBS, BACC (ADMINISTRATIVE SPECIALIST)
(828) 608-6703
Entity
Organization
Contact information
Practice address
300 ENOLA RD, MORGANTON, NC 28655-4608
(828) 608-6703
(828) 608-6950
Mailing address
300 ENOLA RD, MORGANTON, NC 28655-4608
(828) 608-6703
(828) 608-6950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200456
—
NC
Enumeration date
05/11/2012
Last updated
01/09/2025
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