Individual provider · Type 1 NPI

Lisa Bieze

Developmental Therapist · Crystal Lake, IL

NPI number 1124477435 Active

Practice location

1799 Kings Gate Ln
Crystal Lake, IL 60014-2906

Call (815) 276-7786 Map

Fax (815) 788-1321

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 1124477435

Lisa Bieze's National Provider Identifier is 1124477435, issued on Jun 7, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Crystal Lake, IL. The record was last updated on Jun 7, 2016.