Individual provider · Type 1 NPI
Michelle D. Ivy
Developmental Therapist · Chicago, IL
Practice location
4119 W Harrison St
Chicago, IL 60624-3549
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…
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About NPI 1912294091
Michelle D. Ivy's National Provider Identifier is 1912294091, issued on Jul 8, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2011.