Individual provider · Type 1 NPI

Jennifer Anne Boyd

Developmental Therapist · Rockford, IL

NPI number 1801012992 Active

Practice location

Nia 1515 S. Meridian Rd.
Rockford, IL 61102

Fax (815) 964-2210

Mailing address

3063 Chartwell Ct
Rockford, IL 61114-5826

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XJB57041298P (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…

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About NPI 1801012992

Jennifer Anne Boyd's National Provider Identifier is 1801012992, issued on Apr 17, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.