Individual provider · Type 1 NPI
Malerie Ann Boylan, DT
Developmental Therapist · Lansing, IL
Practice location
17760 State Line Rd
Lansing, IL 60438-2011
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…
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About NPI 1083106355
Malerie Ann Boylan, DT's National Provider Identifier is 1083106355, issued on Jun 3, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lansing, IL. The record was last updated on Jun 3, 2018.