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NPI Code Detail

MEDICARE: DISCOVERY DEVELOPMENTAL SERVICES

MEDICARE: DISCOVERY DEVELOPMENTAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency140249KY
2252Y00000XEarly Intervention Provider Agency105787KY
3252Y00000XEarly Intervention Provider Agency132478KY

General Provider Information

NPI Number : 1841749900
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISCOVERY DEVELOPMENTAL SERVICES
Provider Business Mailing Address
First Line : 13 CANTERBURY DR
Second Line :
City : LOUISVILLE
State : KY
Zip : 40220-1241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4934 BROWNSBORO RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-6438
Country : US
Telephone Number : 502-693-0379
Fax Number :
Authorized Official
Title or Position : OTR/L
Name : MEGHAN MARISSA HILLERICH
Credential : OTR/L
Telephone Number : 502-693-0279
Provider Enumeration Date : 09/29/2016
Last Update Date : 09/29/2016

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Directions to “DISCOVERY DEVELOPMENTAL SERVICES ” Practice Location

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