DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MELYNDA RAE COSTA

Active Sole Proprietor

MRS. MELYNDA RAE COSTA is a Developmental Therapist healthcare provider located in CHANNAHON, Illinois. NPI 1124379961 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · CHANNAHON, IL

Registration Details

NPI Number
1124379961
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2012 (13.720736205401 yrs)
Last Updated
Jan 19, 2026
Sole Proprietor
Yes

Practice Information

Address
26349 S LYNDSAY DR
CHANNAHON, IL, 604105522
Browse IL providers · Browse ZIP 60410
Phone
8155210372
Fax
8155210372
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in CHANNAHON, IL

Name Credential NPI
ANNE MARIE STOLE DT 1376763763
KIMBERLY REIF D.T. 1598985913
MRS. MICHELLE KEETON 1497903132
MRS. CHRISTINE A SPARKS 1720370141
MRS. LISA ANN HILL BS 1891476214
JILLIAN DRZEWIECKI 1205683836
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.