Individual provider · Type 1 NPI
Donna Margaret Carrillo, MAT
Developmental Therapist · Ellisville, MO
Practice location
15834 Clayton Rd.
Ellisville, MO 63011
Fax (636) 227-8711
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…
Another provider at this address
About NPI 1194168765
Donna Margaret Carrillo, MAT's National Provider Identifier is 1194168765, issued on Apr 12, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Ellisville, MO. The record was last updated on Apr 12, 2013.