IndividualActive
Alethea Marcellus, MS, PSYCH, ACAS,ITFS
NPI 1477044659 · Developmental Therapist · Creedmoor, NC
Provider details
- NPI number
- 1477044659
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, PSYCH, ACAS,ITFS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Early Intervention Provider Agency252Y00000X
Agencies
Practice location
2556 Mint Julep Dr
Creedmoor, NC 27522
Phone: (919) 609-8160
Approximate (ZIP-level) locationGet directions
Mailing address
2556 Mint Julep Dr
Creedmoor, NC 27522-7817
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2020-05-19
- Certified
- 2020-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.