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

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Developmental Therapist · BERKELEY, IL

Registration Details

NPI Number
1962209130
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2025 (1.1691847937964 yrs)
Last Updated
Feb 26, 2025

Practice Information

Address
1142 RICHARD AVE
BERKELEY, IL, 601631028
Browse IL providers · Browse ZIP 60163
Phone
7082801142
Primary Specialty
Developmental Therapist
222Q00000X
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.