Individual provider · Type 1 NPI

Katherine Elizabeth Heenan, M ED

Developmental Therapist · Chicago, IL

NPI number 1053504993 Active

Practice location

4026 W Irving Park Road
Chicago, IL 60641-2925

Call (773) 282-5274 Map

Mailing address

3100 N Lake Shore Dr, Apt 804
Chicago, IL 60657-4946

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1053504993

Katherine Elizabeth Heenan, M ED's National Provider Identifier is 1053504993, issued on Aug 23, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 18, 2007.