Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Randall Ivy, MSDE

Individual provider Developmental Therapist · NPI 1932874385

Mary Randall Ivy, MSDE is a Developmental Therapist in Brentwood, Missouri. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1314 Strassner Dr
Brentwood, MO 63144-1873
Phone: (314) 918-1369
Fax: (314) 918-1609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1932874385
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSDE
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021

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