Individual provider · Type 1 NPI
Keita Janace Mallett
Developmental Therapist · Hillside, IL
Practice location
300 Oak Ridge Ave Apt 2F
Hillside, IL 60162-2037
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 Hillside
About NPI 1326500448
Keita Janace Mallett's National Provider Identifier is 1326500448, issued on Apr 5, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Hillside, IL. The record was last updated on Apr 5, 2019.