Individual provider · Type 1 NPI
Jacy Lyn Blunt
Developmental Therapist · Effingham, IL
Practice location
1O5 W Hawthorne Drive
Effingham, IL 62401
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 1619665445
Jacy Lyn Blunt's National Provider Identifier is 1619665445, issued on Apr 28, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Effingham, IL. The record was last updated on Apr 28, 2023.