Individual provider · Type 1 NPI
Jennie Marie Killam
Developmental Therapist · New Berlin, IL
Practice location
8801 Werner Rd
New Berlin, IL 62670-6805
Mailing address
31281 Killam Rd.
Girard, IL 62640-8629
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…
About NPI 1043475122
Jennie Marie Killam's National Provider Identifier is 1043475122, issued on Jul 28, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in New Berlin, IL. The record was last updated on Sep 11, 2024.