Individual provider · Type 1 NPI
Deshelle Mason
Developmental Therapist · Calumet City, IL
Practice location
1945 Wilson Ave
Calumet City, IL 60409-2972
Mailing address
1653 W 43rd St
Chicago, IL 60609-3103
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 1356808984
Deshelle Mason's National Provider Identifier is 1356808984, issued on Mar 1, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Calumet City, IL. The record was last updated on Apr 30, 2019.