Individual provider · Type 1 NPI

Tineka N. Doggan, DEVLOPMENTAL THERAPY

Developmental Therapist · Mount Vernon, IL

NPI number 1093938474 Active

Practice location

4304 Lilac Ln
Mount Vernon, IL 62864-2114

Fax (618) 242-9056

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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…

Other developmental therapist providers in Mount Vernon

See all in Mount Vernon →

About NPI 1093938474

Tineka N. Doggan, DEVLOPMENTAL THERAPY's National Provider Identifier is 1093938474, issued on Apr 11, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jul 8, 2007.