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Kristen Vanderlely, M.S., ITDS

Developmental Therapist in Fort Lauderdale, FL. Individual provider (NPI-1).

NPI number1255700449
StatusActive
Last updated in NPPESFeb 23, 2018

Details

NPI
1255700449
Entity type
Individual (NPI-1)
Name
Kristen Vanderlely
Credential
M.S., ITDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 18, 2015
Last updated
Feb 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes
104100000X Social Worker––

Practice location

1609 Sw 13th Ct
Fort Lauderdale, FL 33312-4147

Phone 954-815-4738

Mailing address

1609 Sw 13th Ct
Fort Lauderdale, FL 33312-4147

Phone 954-815-4738

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