Individual provider · Type 1 NPI

Lanise Johnson

Developmental Therapist · Calumet City, IL

NPI number 1871038091 Active

Practice location

399 Merrill Ave
Calumet City, IL 60409-2227

Call (708) 203-3760 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1871038091

Lanise Johnson's National Provider Identifier is 1871038091, issued on Dec 24, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Calumet City, IL. The record was last updated on Dec 24, 2016.