Individual provider · Type 1 NPI

Catherine Rene Larson, ILTYPE 10, LBS1

Developmental Therapist · Chicago, IL

NPI number 1255659504 Active

Practice location

1806 W School St, Apartment 2
Chicago, IL 60657-2006

Call (773) 404-3069 Map

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 1255659504

Catherine Rene Larson, ILTYPE 10, LBS1's National Provider Identifier is 1255659504, issued on May 12, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on May 12, 2010.