Individual provider · Type 1 NPI

Kimberly Joyce Goodman, D.T.

Developmental Therapist · Chicago, IL

NPI number 1053505818 Active

Practice location

8319 S Hamilton Ave
Chicago, IL 60620-6025

Call (773) 507-0795 Map

Fax (773) 881-1753

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 1053505818

Kimberly Joyce Goodman, D.T.'s National Provider Identifier is 1053505818, issued on Sep 4, 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 4, 2007.