Individual provider · Type 1 NPI
Kim Stevens, RDH BS MBA OM
Developmental Therapist · Quincy, IL
Practice location
3921 S 24th St
Quincy, IL 62305-8925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 001181 (MO) |
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 1134543168
Kim Stevens, RDH BS MBA OM's National Provider Identifier is 1134543168, issued on Feb 11, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Quincy, IL. The record was last updated on Feb 11, 2014.