Individual provider · Type 1 NPI
Dominique Watson
Developmental Therapist · Park Forest, IL
Practice location
104 Hemlock St
Park Forest, IL 60466-2157
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 1154837565
Dominique Watson's National Provider Identifier is 1154837565, issued on Dec 20, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Park Forest, IL. The record was last updated on Dec 20, 2017.