Individual provider · Type 1 NPI

Carol S. Evenhouse, CDS CHILD DEVELOPMEN

Developmental Therapist · Burr Ridge, IL

NPI number 1053535203 Active

Practice location

35 S Old Mill Lane
Burr Ridge, IL 60527

Fax (630) 323-2390

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XCE96020698P (IL)

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 1053535203

Carol S. Evenhouse, CDS CHILD DEVELOPMEN's National Provider Identifier is 1053535203, issued on Apr 12, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Burr Ridge, IL. The record was last updated on Jul 8, 2007.