Individual provider · Type 1 NPI
Samantha Lauren Kledzik, LCPC
Developmental Therapist · Effingham, IL
Practice location
214 W Jefferson St
Effingham, IL 62401
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…
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About NPI 1326434259
Samantha Lauren Kledzik, LCPC's National Provider Identifier is 1326434259, issued on Apr 7, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Effingham, IL. The record was last updated on May 25, 2023.