Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENZIE MALLARD
ActiveMCKENZIE MALLARD is a Developmental Therapist healthcare provider located in BOURBONNAIS, Illinois. NPI 1174065080 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1174065080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 9, 2016 (9.7426615168831 yrs)
- Last Updated
- Aug 12, 2019
Practice Information
- Address
-
598 SPRING PARK LOOPBOURBONNAIS, IL, 609144968Browse IL providers · Browse ZIP 60914
- Phone
- 8156717092
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in BOURBONNAIS, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. BARBARA ANNE SHEPHERD | — | 1740452101 |
| MS. ERIN MARGARET DOMZALSKI | DT | 1104073956 |
| LATASHIA BROWN | — | 1801124185 |
| MRS. GINA SKOUMAL | DT | 1487959789 |
| VICKI CHINSKI | — | 1659778066 |
| RACHEL FISH | — | 1144675141 |
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.