Individual provider · Type 1 NPI
Kimberly Gaye Tennyson, M.ED.
Developmental Therapist · Fairfield, IL
Practice location
RR 3 Box 792
Fairfield, IL 62837-9598
Fax (618) 897-2441
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 1407981491
Kimberly Gaye Tennyson, M.ED.'s National Provider Identifier is 1407981491, issued on Feb 22, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fairfield, IL. The record was last updated on Jul 8, 2007.