Individual provider · Type 1 NPI
Charlene Labotte Goode
Developmental Therapist · Galena, IL
Practice location
9056 Cottonwood Dr
Galena, IL 61036-9401
Mailing address
245 W Exchange St, Suite 4
Sycamore, IL 60178-1495
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 1154571040
Charlene Labotte Goode's National Provider Identifier is 1154571040, issued on Sep 26, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Galena, IL. The record was last updated on Mar 22, 2013.