Individual provider · Type 1 NPI

Kimberly Jeanette Lane

Developmental Therapist · Aurora, IL

NPI number 1235755976 Active

Practice location

2112 W Galena Blvd Ste 8-316
Aurora, IL 60506-3255

Call (630) 661-7253 Map

Mailing address

PO Box 291072
Chicago, IL 60629-6072

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 1235755976

Kimberly Jeanette Lane's National Provider Identifier is 1235755976, issued on Jun 18, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Aurora, IL. The record was last updated on Jun 18, 2020.