Provider Demographics
NPI:1346409406
Name:DEVELOPMENTAL GUIDANCE SERVICES
Entity Type:Organization
Organization Name:DEVELOPMENTAL GUIDANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENTAL INTERVENTIONIST
Authorized Official - Prefix:
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:GALE
Authorized Official - Last Name:SAGRACY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-507-0907
Mailing Address - Street 1:3542 BALLTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-9302
Mailing Address - Country:US
Mailing Address - Phone:502-507-0907
Mailing Address - Fax:502-348-9413
Practice Address - Street 1:3542 BALLTOWN RD
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-9302
Practice Address - Country:US
Practice Address - Phone:502-507-0907
Practice Address - Fax:502-348-9413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency