Individual provider · Type 1 NPI
Jessica Marie Tupy
Developmental Therapist · Bourbonnais, IL
Practice location
1945 Spring Park Loop
Bourbonnais, IL 60914-4980
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 1053288720
Jessica Marie Tupy's National Provider Identifier is 1053288720, issued on Oct 18, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bourbonnais, IL. The record was last updated on Oct 18, 2025.