Individual provider · Type 1 NPI

Vanessa Jade Mendiola

Developmental Therapist · North Riverside, IL

NPI number 1891468872 Active

Practice location

2227 S 5th Ave
North Riverside, IL 60546-1216

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 1891468872

Vanessa Jade Mendiola's National Provider Identifier is 1891468872, issued on Jul 27, 2021. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in North Riverside, IL. The record was last updated on Feb 27, 2023.