Individual provider · Type 1 NPI

Kristine Evans

Developmental Therapist · Marengo, IL

NPI number 1073999702 Active

Practice location

2813 Miller Rd
Marengo, IL 60152-9245

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
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 1073999702

Kristine Evans's National Provider Identifier is 1073999702, issued on Aug 5, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Marengo, IL. The record was last updated on Mar 3, 2020.