Individual provider · Type 1 NPI
Waneta Deshon Willis-Cooper
Developmental Therapist · Hammond, IN
Practice location
6116 Marshall Ave
Hammond, IN 46323-1054
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…
Other developmental therapist providers in Hammond
About NPI 1053584938
Waneta Deshon Willis-Cooper's National Provider Identifier is 1053584938, issued on Apr 10, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Hammond, IN. The record was last updated on Apr 6, 2015.