Provider Demographics
NPI:1740486067
Name:CHILD DEVELOPMENT SPECIALTIES, INC.
Entity type:Organization
Organization Name:CHILD DEVELOPMENT SPECIALTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:POLLY
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-948-9592
Mailing Address - Street 1:131 PRATER DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8663
Mailing Address - Country:US
Mailing Address - Phone:859-514-0583
Mailing Address - Fax:
Practice Address - Street 1:131 PRATER DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8663
Practice Address - Country:US
Practice Address - Phone:859-514-0583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYFS01704OtherEARLY INTERVENTION