Individual provider · Type 1 NPI
Lisa Marlow Johnson
Developmental Therapist · Belleville, IL
Practice location
34 Fenwood Dr
Belleville, IL 62220
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 1629208731
Lisa Marlow Johnson's National Provider Identifier is 1629208731, issued on Jul 23, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Belleville, IL. The record was last updated on Jul 23, 2009.