Individual provider · Type 1 NPI
Mary Josephine Birch, MT-BC, DTS, CIMI
Developmental Therapist · Villa Park, IL
Practice location
18W233 Knollwood Ln
Villa Park, IL 60181-3634
Fax (630) 953-9831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | MB49860101P (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 1093938375
Mary Josephine Birch, MT-BC, DTS, CIMI's National Provider Identifier is 1093938375, issued on Apr 11, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Villa Park, IL. The record was last updated on Jul 8, 2007.