Individual provider · Type 1 NPI

Debra G. Siddall, DEVELOPMENTAL THERAP

Developmental Therapist · Country Club Hills, IL

NPI number 1619195062 Active

Practice location

4129 177th St
Country Club Hills, IL 60478-4859

Call (708) 289-8730 Map

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 1619195062

Debra G. Siddall, DEVELOPMENTAL THERAP's National Provider Identifier is 1619195062, issued on Apr 23, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Country Club Hills, IL. The record was last updated on Jul 8, 2007.