Individual provider · Type 1 NPI
Tamika St. Clair
Developmental Therapist · Evergreen Pk, IL
Practice location
2936 W 97th Pl
Evergreen Pk, IL 60805-2608
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 1174066567
Tamika St. Clair's National Provider Identifier is 1174066567, issued on Dec 2, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Evergreen Pk, IL. The record was last updated on Dec 2, 2016.