Individual provider · Type 1 NPI
Lisa Ann Rogers
Developmental Therapist · Springfield, IL
Practice location
2101 Lexington Dr, Apt 3
Springfield, IL 62704
Mailing address
2101 Lexington Dr Apt 3
Springfield, IL 62704-5688
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 1447774757
Lisa Ann Rogers's National Provider Identifier is 1447774757, issued on Jul 28, 2017. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Springfield, IL. The record was last updated on Jul 21, 2022.