Individual provider · Type 1 NPI
Amy Lizette Porter
Developmental Therapist · Decatur, IL
Practice location
1070 W Olive St
Decatur, IL 62526-3761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | P63601296738 (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 1861057739
Amy Lizette Porter's National Provider Identifier is 1861057739, issued on May 7, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Decatur, IL. The record was last updated on May 7, 2019.