Individual provider · Type 1 NPI
Jessica Penny
Developmental Therapist · Caseyville, IL
Practice location
435 S 4th St
Caseyville, IL 62232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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…
About NPI 1265818025
Jessica Penny's National Provider Identifier is 1265818025, issued on Aug 4, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Caseyville, IL. The record was last updated on Aug 4, 2015.