Individual provider · Type 1 NPI

Sreeletha Suseela Amma Kadavil

Developmental Therapist · Mount Prospect, IL

NPI number 1104442912 Active

Practice location

12 N Albert St
Mount Prospect, IL 60056-2551

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…

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About NPI 1104442912

Sreeletha Suseela Amma Kadavil's National Provider Identifier is 1104442912, issued on Jun 18, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Mount Prospect, IL. The record was last updated on Jun 18, 2020.