Individual provider · Type 1 NPI
Kelly Ann Irvin
Developmental Therapist · Roberts, IL
Practice location
1588 N 1400 East Rd
Roberts, IL 60962-8038
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…
About NPI 1851684989
Kelly Ann Irvin's National Provider Identifier is 1851684989, issued on May 23, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Roberts, IL. The record was last updated on Jun 1, 2011.