Individual provider · Type 1 NPI
Marlena Lynn Sjostrom
Developmental Therapist · Roscoe, IL
Practice location
459 Pine White Rd Unit 4
Roscoe, IL 61073-5667
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 1518306554
Marlena Lynn Sjostrom's National Provider Identifier is 1518306554, issued on Jun 24, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Roscoe, IL. The record was last updated on Jun 24, 2013.