Individual provider · Type 1 NPI

Tymeka Artheia Miranda, DEVELOPMENTAL THERAP

Developmental Therapist · Chicago, IL

NPI number 1083047864 Active

Practice location

3521 W 72nd St
Chicago, IL 60629-4301

Call (773) 434-8028 Map

Fax (773) 434-8028

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 1083047864

Tymeka Artheia Miranda, DEVELOPMENTAL THERAP's National Provider Identifier is 1083047864, issued on Aug 15, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 15, 2013.