Individual provider · Type 1 NPI

Amy Tallman, DEVELOPMENTAL THERAP

Developmental Therapist · West Frankfort, IL

NPI number 1093901936 Active

Practice location

902 W Main St
West Frankfort, IL 62896-2210

Call (618) 937-6483 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XAA42960103A (IL)

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 1093901936

Amy Tallman, DEVELOPMENTAL THERAP's National Provider Identifier is 1093901936, issued on Sep 24, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in West Frankfort, IL. The record was last updated on Sep 24, 2007.