Individual provider · Type 1 NPI
Lynnea Laura Moncofsky, M.S.
Developmental Therapist · Joliet, IL
Practice location
2300 Glenwood Ave
Joliet, IL 60435-5581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 1115139 (NY) |
| Developmental Therapist | 222Q00000X | 2161882 (NY) |
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 1285965814
Lynnea Laura Moncofsky, M.S.'s National Provider Identifier is 1285965814, issued on Jan 21, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Joliet, IL. The record was last updated on Jan 21, 2010.