Individual provider · Type 1 NPI
Christine Mayworm, DTH, PSYCHOLOGY
Developmental Therapist · Libertyville, IL
Practice location
150 Blueberry Rd
Libertyville, IL 60048-2167
Fax (847) 680-3311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | CM08170993P (IL) |
| Counselor | 101Y00000X | 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 1972713022
Christine Mayworm, DTH, PSYCHOLOGY's National Provider Identifier is 1972713022, issued on May 23, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Libertyville, IL. The record was last updated on Sep 11, 2025.