Individual provider · Type 1 NPI
Michelle Jackson
Developmental Therapist · Orland Park, IL
Practice location
9761 Ravinia Ln Apt 1S
Orland Park, IL 60462-6571
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 1427819085
Michelle Jackson's National Provider Identifier is 1427819085, issued on Jan 22, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Orland Park, IL. The record was last updated on Jan 22, 2024.