Individual provider · Type 1 NPI
Keyanna Dortch
Developmental Therapist · Chicago, IL
Practice location
4911 W Kamerling Ave
Chicago, IL 60651-1534
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 1386058618
Keyanna Dortch's National Provider Identifier is 1386058618, issued on Jun 14, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 14, 2014.