Individual provider · Type 1 NPI
Susan Mayo
Developmental Therapist · Brimfield, IL
Practice location
14615 W Fox Creek Ct
Brimfield, IL 61517-9529
Fax (866) 319-1546
Mailing address
2436 W Pintura Ct # A
Peoria, IL 61614-1444
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…
Another provider at this address
About NPI 1770933954
Susan Mayo's National Provider Identifier is 1770933954, issued on Jun 17, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Brimfield, IL. The record was last updated on Jun 17, 2016.