Individual provider · Type 1 NPI

Samantha Beverley, DT

Developmental Therapist · Highland, IL

NPI number 1386462299 Active

Practice location

4501 Hill Rd
Highland, IL 62249-3519

Call (618) 830-6562 Map

Mailing address

2609 2nd Ave
Rockford, IL 61108-1704

Other practice locations

  • 2609 2nd Ave, Rockford, IL 61108-1704 · (815) 708-5829

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1386462299

Samantha Beverley, DT's National Provider Identifier is 1386462299, issued on Sep 30, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Highland, IL. The record was last updated on Sep 30, 2024.