Individual provider · Type 1 NPI

Dayle Russell

Developmental Therapist · West Frankfort, IL

NPI number 1295920395 Active

Practice location

902 W Main St
West Frankfort, IL 62896-2210

Call (618) 937-6483 Map

Mailing address

1628 E Clark Trl
Herrin, IL 62948-4355

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XDR91000698P (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…

284 other providers at this address

Other developmental therapist providers in West Frankfort

See all in West Frankfort →

About NPI 1295920395

Dayle Russell's National Provider Identifier is 1295920395, issued on Sep 11, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in West Frankfort, IL. The record was last updated on Sep 11, 2007.