Individual provider · Type 1 NPI
Jaclyn Cook
Developmental Therapist · Niles, MI
Practice location
2424 Jody Rae St
Niles, MI 49120-7707
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…
About NPI 1427699479
Jaclyn Cook's National Provider Identifier is 1427699479, issued on Oct 1, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Niles, MI. The record was last updated on Oct 1, 2019.