Individual provider · Type 1 NPI

Lillianne Caroliine Louise Martin

Developmental Therapist · Indianapolis, IN

NPI number 1376303560 Active

Practice location

7701 E 21st St
Indianapolis, IN 46219-2406

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X29002073A (IN)

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 1376303560

Lillianne Caroliine Louise Martin's National Provider Identifier is 1376303560, issued on Mar 22, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 22, 2024.