Individual provider · Type 1 NPI
Vivian Diane Hudson-Davis, DEVELOPMENTAL THERAP
Developmental Therapist · Glenwood, IL
Practice location
242 S Dante Ave
Glenwood, IL 60425-2058
Fax (708) 757-4799
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 1972388 (IL) |
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 Glenwood
About NPI 1295048817
Vivian Diane Hudson-Davis, DEVELOPMENTAL THERAP's National Provider Identifier is 1295048817, issued on Jul 24, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Glenwood, IL. The record was last updated on Jul 24, 2010.