Individual provider · Type 1 NPI
Leslie Mary Grampp, CDS
Developmental Therapist · Pontiac, IL
Practice location
2500 W Reynolds St
Pontiac, IL 61764-9774
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 1508071044
Leslie Mary Grampp, CDS's National Provider Identifier is 1508071044, issued on May 10, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Pontiac, IL. The record was last updated on Jul 9, 2007.