Individual provider · Type 1 NPI
Michelle A. Sudberry
Developmental Therapist · Park Forest, IL
Practice location
302 N Orchard Dr
Park Forest, IL 60466-1141
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 1386086544
Michelle A. Sudberry's National Provider Identifier is 1386086544, issued on Jul 29, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Park Forest, IL. The record was last updated on Jul 29, 2013.