Individual provider · Type 1 NPI

Jazmin A. Gonzalez

Developmental Therapist · Cicero, IL

NPI number 1104608736 Active

Practice location

3744 S 56th Ct
Cicero, IL 60804-4311

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 1104608736

Jazmin A. Gonzalez's National Provider Identifier is 1104608736, issued on Oct 18, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Cicero, IL. The record was last updated on Oct 18, 2023.