Individual provider · Type 1 NPI
Amanda N. Herzog
Developmental Therapist · Champaign, IL
Practice location
1007 Wilshire Ct
Champaign, IL 61821-6934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | H622-0148-5785 (IL) |
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 1457526444
Amanda N. Herzog's National Provider Identifier is 1457526444, issued on Apr 29, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Champaign, IL. The record was last updated on Apr 29, 2008.