Individual provider · Type 1 NPI
Lisa Brennan
Developmental Therapist · Chicago, IL
Practice location
4507 N Richmond St
Chicago, IL 60625-3825
Fax (866) 672-5645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
| Counselor | 101Y00000X | 178.004881 (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…
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About NPI 1013129733
Lisa Brennan's National Provider Identifier is 1013129733, issued on May 4, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 17, 2009.