Individual provider · Type 1 NPI
Michele Elaine Davis
Developmental Therapist · Lansing, IL
Practice location
17434 Roy St
Lansing, IL 60438-1351
Fax (708) 895-1210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 974440764 (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 1972735934
Michele Elaine Davis's National Provider Identifier is 1972735934, issued on Aug 10, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lansing, IL. The record was last updated on Aug 10, 2009.