Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BETHANY DAWN JACK
Active Sole ProprietorDevelopmental Therapist · MAYSVILLE, KY
Registration Details
- NPI Number
- 1336413764
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2012 (14.140850579253 yrs)
- Last Updated
- Mar 2, 2012
- License
-
000083087 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
382 BON HAVEN RDMAYSVILLE, KY, 410569702Browse KY providers · Browse ZIP 41056
- Phone
- 6065840518
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in MAYSVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| MRS. AMBER HOPE MELLENKAMP | — | 1598927774 |
| MARY R HALL | — | 1174893127 |
| MS. ANNE DENHAM | ED.S | 1164795191 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.