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

KENYANA T JOHNSON, DEVELOPMENTAL THERAP

Active Sole Proprietor

KENYANA T JOHNSON, DEVELOPMENTAL THERAP is a Developmental Therapist healthcare provider located in CALUMET PARK, Illinois. NPI 1710202361 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · CALUMET PARK, IL

Registration Details

NPI Number
1710202361
Provider Type
Individual
Gender
Female
NPI Issued
Apr 6, 2010 (16.369479960568 yrs)
Last Updated
Apr 6, 2010
Sole Proprietor
Yes

Practice Information

Address
12620 S WOOD ST
CALUMET PARK, IL, 608275916
Browse IL providers · Browse ZIP 60827
Phone
7089554509
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in CALUMET PARK, IL

Name Credential NPI
SHYBELLA MORGAN 1952896920
JANINE DIXON 1841947025
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.