Individual provider · Type 1 NPI
Jo Russell-Brown, M.ED.
Developmental Therapist · St. Louis, MO
Practice location
5030 Mcree Ave
St. Louis, MO 63110-2046
Fax (314) 776-7808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | JR50930198P (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 1093929259
Jo Russell-Brown, M.ED.'s National Provider Identifier is 1093929259, issued on May 9, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.