Individual provider · Type 1 NPI
Jewel Dean Nolden
Developmental Therapist · Broadview, IL
Practice location
2239 S 19th Ave
Broadview, IL 60155-3939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | JN79311200P (IL) |
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…
Other developmental therapist providers in Broadview
About NPI 1790994515
Jewel Dean Nolden's National Provider Identifier is 1790994515, issued on May 21, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Broadview, IL. The record was last updated on Jul 8, 2007.