Individual provider · Type 1 NPI
Jillian Renee Carpenter
Developmental Therapist · Benton, IL
Practice location
401 W 6th St
Benton, IL 62812-1247
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…
About NPI 1154680437
Jillian Renee Carpenter's National Provider Identifier is 1154680437, issued on May 8, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Benton, IL. The record was last updated on May 8, 2012.