Individual provider · Type 1 NPI

Mary O'Halloran Miller

Developmental Therapist · Highland Park, IL

NPI number 1376664896 Active

Practice location

579 Chicago Ave
Highland Park, IL 60035-1919

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XMM73181199P (IL)

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 1376664896

Mary O'Halloran Miller's National Provider Identifier is 1376664896, issued on Apr 2, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Highland Park, IL. The record was last updated on Jul 8, 2007.