Individual provider · Type 1 NPI

Keresa Carell Powell

Developmental Therapist · Chicago, IL

NPI number 1407602717 Active

Practice location

7122 S East End Ave Apt 1N
Chicago, IL 60649-7372

Call (312) 731-2986 Map

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 1407602717

Keresa Carell Powell's National Provider Identifier is 1407602717, issued on Apr 26, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 26, 2024.