Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LETHA ANNISSA BELL-JACKSON
Active Sole ProprietorDR. LETHA ANNISSA BELL-JACKSON is a Developmental Therapist healthcare provider located in BELLWOOD, Illinois. NPI 1649083718 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · BELLWOOD, IL
Registration Details
- NPI Number
- 1649083718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2025 (1.5179246066 yrs)
- Last Updated
- Jan 30, 2025
- License
-
1982988 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4302 OAK STBELLWOOD, IL, 601041312Browse IL providers · Browse ZIP 60104
- Phone
- 6309271106
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in BELLWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY DUBOISE | D.T | 1083890628 |
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.