Individual provider · Type 1 NPI
Kimberly Ann Russell
Developmental Therapist · Lisle, IL
Practice location
5900 Oakwood Dr Apt 5F
Lisle, IL 60532-3009
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 1326753526
Kimberly Ann Russell's National Provider Identifier is 1326753526, issued on Jan 23, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lisle, IL. The record was last updated on Jan 23, 2023.