Individual provider · Type 1 NPI
Marissa Nicole Gonzales
Developmental Therapist · Chicago, IL
Practice location
7634 W Balmoral Ave
Chicago, IL 60656-1724
Mailing address
10 Country Ct
Lemont, IL 60439-4183
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…
2 other providers at this address
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About NPI 1407362668
Marissa Nicole Gonzales's National Provider Identifier is 1407362668, issued on Dec 22, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 22, 2017.