Individual provider · Type 1 NPI
Barbara Mae Long, DEVELOPMENTAL THERAP
Developmental Therapist · Canton, IL
Practice location
634 E Ash St
Canton, IL 61520-2016
Fax (309) 647-4394
Mailing address
1148 S Main St
Canton, IL 61520-3426
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 1730303678
Barbara Mae Long, DEVELOPMENTAL THERAP's National Provider Identifier is 1730303678, issued on Apr 12, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Canton, IL. The record was last updated on Jul 8, 2007.