Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITA JANACE MALLETT
Active Sole ProprietorKEITA JANACE MALLETT is a Developmental Therapist healthcare provider located in HILLSIDE, Illinois. NPI 1326500448 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · HILLSIDE, IL
Registration Details
- NPI Number
- 1326500448
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2019 (7.3395604627634 yrs)
- Last Updated
- Apr 5, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 OAK RIDGE AVE APT 2FHILLSIDE, IL, 601622037Browse IL providers · Browse ZIP 60162
- Phone
- 7083690086
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in HILLSIDE, IL
| Name | Credential | NPI |
|---|---|---|
| EMILY ANN DUSZYNSKI | DT | 1821437773 |
| EBONY WESTBROOKS | — | 1356192827 |
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.