Individual provider · Type 1 NPI
Tammy Lynn Walls
Developmental Therapist · Edwardsville, IL
Practice location
1523 Ritter St, Apt. A
Edwardsville, IL 62025-1044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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 1124261680
Tammy Lynn Walls's National Provider Identifier is 1124261680, issued on Apr 14, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Edwardsville, IL. The record was last updated on Apr 14, 2009.