Individual provider · Type 1 NPI
Nancy Jo Moran, C.D.S.
Developmental Therapist · Wadsworth, IL
Practice location
4779 W Pebble Beach Dr
Wadsworth, IL 60083-9276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | NM71930298P (IL) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
Another provider at this address
Other developmental therapist providers in Wadsworth
About NPI 1013122613
Nancy Jo Moran, C.D.S.'s National Provider Identifier is 1013122613, issued on May 14, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Wadsworth, IL. The record was last updated on Jul 8, 2007.