Individual provider · Type 1 NPI
Alyssa Ann Pruemer
Developmental Therapist · Shumway, IL
Practice location
20445 N 1060th St
Shumway, IL 62461-2250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 2322901 (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…
About NPI 1376714964
Alyssa Ann Pruemer's National Provider Identifier is 1376714964, issued on Mar 21, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Shumway, IL. The record was last updated on Mar 21, 2008.