Individual provider · Type 1 NPI
Carrie Coon
Developmental Therapist · Springfield, IL
Practice location
1741 Holmes Ave
Springfield, IL 62704-4033
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…
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About NPI 1043813488
Carrie Coon's National Provider Identifier is 1043813488, issued on Nov 18, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Springfield, IL. The record was last updated on Nov 18, 2020.