Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERTHA DENISE CLARK, CFLE
Active Sole ProprietorBERTHA DENISE CLARK, CFLE is a Developmental Therapist healthcare provider located in MASCOUTAH, Illinois. NPI 1306658521 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · MASCOUTAH, IL
Registration Details
- NPI Number
- 1306658521
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2025 (1.5769910838519 yrs)
- Last Updated
- Jan 24, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1212 GULFSTREAM WAYMASCOUTAH, IL, 622582869Browse IL providers · Browse ZIP 62258
- Phone
- 9072403141
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in MASCOUTAH, IL
| Name | Credential | NPI |
|---|---|---|
| APRIL STURGILL | — | 1104379395 |
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.