Individual provider · Type 1 NPI

Jennifer Lynn Porter

Developmental Therapist · Carbondale, IL

NPI number 1740646686 Active

Practice location

1108 W Willow St
Carbondale, IL 62901-1138

Call (618) 549-4442 Map

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 1740646686

Jennifer Lynn Porter's National Provider Identifier is 1740646686, issued on Jan 7, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Carbondale, IL. The record was last updated on Jan 7, 2016.