Individual provider · Type 1 NPI

Jessica L. Anderson

Developmental Therapist · Canton, IL

NPI number 1174782445 Active

Practice location

259 W Chestnut St
Canton, IL 61520-2465

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 1174782445

Jessica L. Anderson's National Provider Identifier is 1174782445, issued on Jun 3, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Canton, IL. The record was last updated on Jun 3, 2008.