Organization
CHILDHOOD DEVELOPMENT SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER PENLAND OTR/L (CEO)
(502) 507-3841
Entity
Organization
Contact information
Practice address
401 BERGER FARM DR, MOUNT WASHINGTON, KY 40047-5400
(502) 507-3841
Mailing address
401 BERGER FARM DR, MOUNT WASHINGTON, KY 40047-5400
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
R4588
KY
Other
Enumeration date
09/26/2015
Last updated
09/26/2015
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