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

MS. DAVETTE M CLARK

Active Sole Proprietor

MS. DAVETTE M CLARK is a Developmental Therapist healthcare provider located in COUNTRY CLUB HILLS, Illinois. NPI 1750417614 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · COUNTRY CLUB HILLS, IL

Registration Details

NPI Number: 1750417614
Provider Type: Individual
Gender: Female
NPI Issued: Feb 26, 2007 (19.28267246871 yrs)
Last Updated: Jul 8, 2007
Sole Proprietor: Yes

Practice Information

Address: 4856 CASTLE DARGAN DR.

COUNTRY CLUB HILLS, IL, 604785820
Browse IL providers · Browse ZIP 60478
Phone: 7089578616
Fax: 7089578617
Primary Specialty: Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in COUNTRY CLUB HILLS, IL

Name	Credential	NPI
MISS VALERIE L WILSON	MA	1144359886
MRS. LYNNETTE DEGRAFFENREID	—	1396868162
MS. GERALYN L JOHNSON	—	1104040849
MS. DEBRA G. SIDDALL	DEVELOPMENTAL THERAP	1619195062
MRS. STACEY RICHARDSON	DTA	1740498930
MARYANN J. SCARBOROUGH	DT	1376718965

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.