Individual provider · Type 1 NPI

Susan Louise Matejczyk

Developmental Therapist · Chesterton, IN

NPI number 1487218111 Active

Practice location

1120 S Calumet Rd Ste 3
Chesterton, IN 46304-3286

Call (219) 983-9675 Map

Fax (219) 983-9681

Mailing address

4265 Deer Run Ct
Lake Station, IN 46405-2466

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1487218111

Susan Louise Matejczyk's National Provider Identifier is 1487218111, issued on Apr 29, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chesterton, IN. The record was last updated on Apr 29, 2019.