Individual provider · Type 1 NPI

Vivian Jamison

Developmental Therapist · Bolingbrook, IL

NPI number 1154747319 Active

Practice location

1740 Red Bud Rd
Bolingbrook, IL 60490-6534

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 1154747319

Vivian Jamison's National Provider Identifier is 1154747319, issued on Mar 12, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bolingbrook, IL. The record was last updated on Mar 12, 2014.