Individual provider · Type 1 NPI
Kimberly Sisk
Developmental Therapist · Chicago Ridge, IL
Practice location
10956 Massasoit Ave
Chicago Ridge, IL 60415-2417
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 1841412079
Kimberly Sisk's National Provider Identifier is 1841412079, issued on May 3, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago Ridge, IL. The record was last updated on Aug 20, 2007.