Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA INGRUM
ActiveLISA INGRUM is a Developmental Therapist healthcare provider located in CHARLESTON, Illinois. NPI 1457472375 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · CHARLESTON, IL
Registration Details
- NPI Number
- 1457472375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2007 (19.34458873805 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
1530 LINCOLN AVECHARLESTON, IL, 619203057Browse IL providers · Browse ZIP 61920
- Phone
- 2173480127
- Fax
- 2173480740
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in CHARLESTON, IL
| Name | Credential | NPI |
|---|---|---|
| ELLIE WHITE | — | 1649391525 |
| SHIRLEY ANNE WHITE | — | 1437270345 |
| LINDA MCPHEE | — | 1871614743 |
| MARILYN MCBRIDE | — | 1336260231 |
| VIVIAN FAYE SKELLEY | CDS | 1710192653 |
| LISA A MCDANIEL | — | 1952509697 |
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.