Individual provider · Type 1 NPI

Laura Green

Developmental Therapist · Chesterton, IN

NPI number 1114156973 Active

Practice location

1120 S Calumet Rd Ste 3
Chesterton, IN 46304

Other practice locations

  • 3101 Evans Ave, Valparaiso, IN 46383 · (219) 462-0786

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 1114156973

Laura Green's National Provider Identifier is 1114156973, issued on Jul 14, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chesterton, IN. The record was last updated on Jul 8, 2019.