Individual provider · Type 1 NPI
Jeanette Lynn Mendoza
Developmental Therapist · Stillman Valley, IL
Practice location
423 W Grant St
Stillman Valley, IL 61084-8998
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…
About NPI 1326550773
Jeanette Lynn Mendoza's National Provider Identifier is 1326550773, issued on Oct 25, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Stillman Valley, IL. The record was last updated on Oct 25, 2017.