Individual provider · Type 1 NPI
Jackie Lou Anderson
Developmental Therapist · Machesney Park, IL
Practice location
101 Shoreland Rd
Machesney Park, IL 61115-2833
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…
Other developmental therapist providers in Machesney Park
About NPI 1295004406
Jackie Lou Anderson's National Provider Identifier is 1295004406, issued on Dec 16, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Machesney Park, IL. The record was last updated on Dec 16, 2011.