Individual provider · Type 1 NPI

Kayla Danielle McClusky

Developmental Therapist · Jacksonville, IL

NPI number 1548537699 Active

Practice location

204 Brookside Dr Apt 2
Jacksonville, IL 62650-1797

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 1548537699

Kayla Danielle McClusky's National Provider Identifier is 1548537699, issued on Nov 17, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, IL. The record was last updated on Nov 17, 2011.