Individual provider · Type 1 NPI

Melissa A. Jacobson

Developmental Therapist · Chicago, IL

NPI number 1174810139 Active

Practice location

2421 N Ridgeway Ave Apt 1
Chicago, IL 60647-2324

Call (773) 953-2086 Map

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 1174810139

Melissa A. Jacobson's National Provider Identifier is 1174810139, issued on Jun 28, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 28, 2011.