Individual provider · Type 1 NPI

Sumer Porter

Developmental Therapist · Beach Park, IL

NPI number 1548414048 Active

Practice location

39649 N Warren Ln
Beach Park, IL 60083-3051

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 1548414048

Sumer Porter's National Provider Identifier is 1548414048, issued on Nov 11, 2008. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Beach Park, IL. The record was last updated on Nov 11, 2008.