Individual provider · Type 1 NPI

Pamela Lucille Miller

Developmental Therapist · Sycamore, IL

NPI number 1871707802 Active

Practice location

245 W Exchange St Ste 4
Sycamore, IL 60178-1495

Fax (815) 895-2971

Mailing address

1342 Prosser Dr
Sycamore, IL 60178-1112

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XPM28900196P (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 1871707802

Pamela Lucille Miller's National Provider Identifier is 1871707802, issued on May 9, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Sycamore, IL. The record was last updated on Jul 8, 2007.