Individual provider · Type 1 NPI

Jennifer Marie Nyder, DT

Developmental Therapist · New Lenox, IL

NPI number 1396104089 Active

Practice location

2125 Water Chase Dr
New Lenox, IL 60451-4813

Call (708) 307-5462 Map

Fax (708) 221-7173

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 1396104089

Jennifer Marie Nyder, DT's National Provider Identifier is 1396104089, issued on Feb 23, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in New Lenox, IL. The record was last updated on Feb 23, 2016.