Individual provider · Type 1 NPI
Christine Ann Sullivan
Developmental Therapist · Lockport, IL
Practice location
1222 Lacoma Dr
Lockport, IL 60441-3200
Fax (815) 588-1334
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 1417180571
Christine Ann Sullivan's National Provider Identifier is 1417180571, issued on Aug 24, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lockport, IL. The record was last updated on Aug 24, 2009.