Individual provider · Type 1 NPI
Evon Marie Mucek
Developmental Therapist · Carol Stream, IL
Practice location
1052 Bedford Dr
Carol Stream, IL 60188-3918
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 1679796833
Evon Marie Mucek's National Provider Identifier is 1679796833, issued on Apr 10, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Carol Stream, IL. The record was last updated on Jul 8, 2007.