Individual provider · Type 1 NPI
Marie Ann Markham Gonzalez
Developmental Therapist · Lisle, IL
Practice location
5629 Dover Dr
Lisle, IL 60532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | M62554167798 (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 1649602822
Marie Ann Markham Gonzalez's National Provider Identifier is 1649602822, issued on Jul 30, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lisle, IL. The record was last updated on Jul 30, 2013.