Individual provider · Type 1 NPI

Jamie Davidson

Developmental Therapist · Downers Grove, IL

NPI number 1194273698 Active

Practice location

5832 Walnut Ave, Apt. 1B
Downers Grove, IL 60516-6018

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 1194273698

Jamie Davidson's National Provider Identifier is 1194273698, issued on Sep 14, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Downers Grove, IL. The record was last updated on Sep 14, 2016.