Individual provider · Type 1 NPI

Michelle Peterson, DEVELOPMENTAL THERAP

Developmental Therapist · Glen Ellyn, IL

NPI number 1619169901 Active

Practice location

579 Riford Rd
Glen Ellyn, IL 60137-4236

Fax (630) 942-0377

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 1619169901

Michelle Peterson, DEVELOPMENTAL THERAP's National Provider Identifier is 1619169901, issued on Aug 10, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Aug 10, 2007.