Individual provider · Type 1 NPI

Rene Yvonne Green

Developmental Therapist · Effingham, IL

NPI number 1205446549 Active

Practice location

14425 E Blue Ridge Dr
Effingham, IL 62401-7168

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 1205446549

Rene Yvonne Green's National Provider Identifier is 1205446549, issued on Aug 2, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Effingham, IL. The record was last updated on Aug 2, 2020.