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

CARMEN LYNNETTE TIBBS, M.ED., CDS, DT, SLPA

Active Sole Proprietor

CARMEN LYNNETTE TIBBS, M.ED., CDS, DT, SLPA is a Developmental Therapist healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1639371222 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · SOUTH HOLLAND, IL

Registration Details

NPI Number
1639371222
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2007 (19.167743606167 yrs)
Last Updated
Jul 8, 2007
License
CT32520898P (IL)
Sole Proprietor
Yes

Practice Information

Address
65 W 152ND PL
REAR HOUSE
SOUTH HOLLAND, IL, 604731002
Browse IL providers · Browse ZIP 60473
Phone
7085391565
Fax
7087464389
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in SOUTH HOLLAND, IL

Name Credential NPI
MRS. DEBORAH LEFAY WILSON DEVELOPMENTAL THERAP 1073636072
ROLANDA MONTEZ JOHNSON 1730202508
TRUDI HUNTER WHEELER 1568746717
GLORIA FRYZEL 1043577232
SAKENA KELLY HOLLAND 1164868238
MRS. TAMARAKA KING-AUDU DEVELOPMENTAL THERAP 1669956439
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.