Individual provider · Type 1 NPI

Lynn Corrie Irvin, DO

Developmental Therapist · Bloomington, IL

NPI number 1144460189 Active

Practice location

1508 N Linden St
Bloomington, IL 61701-1942

Call (309) 261-1509 Map

Fax (309) 527-3999

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XLI59770209P (IL)

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 1144460189

Lynn Corrie Irvin, DO's National Provider Identifier is 1144460189, issued on Mar 4, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bloomington, IL. The record was last updated on Mar 4, 2009.