Individual provider · Type 1 NPI
Megan Provenzale
Developmental Therapist · Downers Grove, IL
Practice location
4201 Lacey Rd
Downers Grove, IL 60515-1839
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 1487350476
Megan Provenzale's National Provider Identifier is 1487350476, issued on Feb 1, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Downers Grove, IL. The record was last updated on Feb 1, 2023.