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

JESSICA L ANDERSON

Active Sole Proprietor

Developmental Therapist · CANTON, IL

Registration Details

NPI Number
1174782445
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2008 (17.883037136232 yrs)
Last Updated
Jun 3, 2008
Sole Proprietor
Yes

Practice Information

Address
259 W CHESTNUT ST
CANTON, IL, 615202465
Browse IL providers · Browse ZIP 61520
Phone
3093380048
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in CANTON, IL

Name Credential NPI
MRS. HELEN DIANNE COX DEVELOPMENTAL THERAP 1487878336
MS. BARBARA MAE LONG DEVELOPMENTAL THERAP 1730303678
MRS. AUDREY JO HENSLEY 1053688564
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.