Individual provider · Type 1 NPI
Charles J. Greengoss
Developmental Therapist · Rockford, MI
Practice location
6820 Madrone Dr
Rockford, MI 49341-9578
Mailing address
800 Judson Ave Apt 201
Evanston, IL 60202-2452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
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…
3 other providers at this address
Other developmental therapist providers in Rockford
About NPI 1013662154
Charles J. Greengoss's National Provider Identifier is 1013662154, issued on Feb 17, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Rockford, MI. The record was last updated on Feb 17, 2022.