Individual provider · Type 1 NPI

Gloria Moran

Developmental Therapist · Chicago, IL

NPI number 1720291990 Active

Practice location

2630 S Hillock Ave
Chicago, IL 60608-5710

Call (773) 931-9725 Map

Fax (312) 225-3035

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 1720291990

Gloria Moran's National Provider Identifier is 1720291990, issued on May 7, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.