Individual provider · Type 1 NPI

Mia Beth Deroin, DO

Developmental Therapist · Harwood Heights, IL

NPI number 1306254271 Active

Practice location

4412 N Oak Park Ave
Harwood Heights, IL 60706-4836

Mailing address

320 W Oakdale Ave
Chicago, IL 60657-6419

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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…

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About NPI 1306254271

Mia Beth Deroin, DO's National Provider Identifier is 1306254271, issued on Jul 23, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Harwood Heights, IL. The record was last updated on Jul 23, 2014.