Individual provider · Type 1 NPI

Kelly M. Ingram

Developmental Therapist · Beach Park, IL

NPI number 1649894130 Active

Practice location

38229 N North Ave
Beach Park, IL 60087-1662

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 1649894130

Kelly M. Ingram's National Provider Identifier is 1649894130, issued on Jun 1, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Beach Park, IL. The record was last updated on Jun 1, 2020.