Individual provider · Type 1 NPI
Latecia Shacole Leavy
Developmental Therapist · Markham, IL
Practice location
15725 Kedzie Ave
Markham, IL 60428-3900
Fax (708) 232-2916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant | 2355S0801X | 217000244 (IL) |
| 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 1053751396
Latecia Shacole Leavy's National Provider Identifier is 1053751396, issued on Jul 1, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Markham, IL. The record was last updated on Aug 14, 2024.