Individual provider · Type 1 NPI

Brandy Simone Henley

Developmental Therapist · Calumet City, IL

NPI number 1245798891 Active

Practice location

109 Forestdale Park
Calumet City, IL 60409-5309

Mailing address

755 E 104th St
Chicago, IL 60628-3018

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 1245798891

Brandy Simone Henley's National Provider Identifier is 1245798891, issued on Mar 3, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Calumet City, IL. The record was last updated on Mar 3, 2019.