Individual provider · Type 1 NPI
Betsy Olivia Miller
Developmental Therapist · Springfield, IL
Practice location
2035 W Iles Ave, Suite C
Springfield, IL 62704-4192
Fax (217) 679-5386
Mailing address
PO Box 195
Pawnee, IL 62558-0195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | M460-0749-0640 (IL) |
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 1629499611
Betsy Olivia Miller's National Provider Identifier is 1629499611, issued on Dec 18, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Springfield, IL. The record was last updated on Dec 18, 2013.