Individual provider · Type 1 NPI

Jo Russell-Brown, M.ED.

Developmental Therapist · St. Louis, MO

NPI number 1093929259 Active

Practice location

5030 Mcree Ave
St. Louis, MO 63110-2046

Fax (314) 776-7808

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XJR50930198P (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.