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

VIVIAN DIANE HUDSON-DAVIS, DEVELOPMENTAL THERAP

Active Sole Proprietor

VIVIAN DIANE HUDSON-DAVIS, DEVELOPMENTAL THERAP is a Developmental Therapist healthcare provider located in GLENWOOD, Illinois. NPI 1295048817 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · GLENWOOD, IL

Registration Details

NPI Number
1295048817
Provider Type
Individual
Gender
Female
NPI Issued
Jul 24, 2010 (16.056464891642 yrs)
Last Updated
Jul 24, 2010
License
1972388 (IL)
Sole Proprietor
Yes

Practice Information

Address
242 S DANTE AVE
GLENWOOD, IL, 604252058
Browse IL providers · Browse ZIP 60425
Phone
7087573560
Fax
7087574799
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in GLENWOOD, IL

Name Credential NPI
MISS APRIL COHEN 1194000307
FRANCINA S CRAYTON MASTER SPECIAL ED 1063995785
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.