Jessica L Anderson in Canton - Developmental Therapist
Jessica L Anderson - NPI 1174782445
Jessica L Anderson is a Developmental Therapist in Canton, Illinois. Jessica L Anderson practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Jessica L Anderson is 1174782445. The last update date is 2008-06-03.
Jessica L Anderson's current location address is 259 W Chestnut St, Canton, Illinois. You can contact this provider via phone number 3093380048. The mailing address for Jessica L Anderson is 259 W Chestnut St, Canton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica L Anderson |
|---|---|
| Address | 259 W Chestnut St, Canton, Illinois |
| Phone Number | 3093380048 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174782445 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | 259 W Chestnut St |
|---|---|
| City | Canton |
| State | Illinois (IL) |
| Post Code | 615202465 |
| Phone Number | 3093380048 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jessica L Anderson by the Centers for Medicare & Medicaid Services?
The Jessica L Anderson has been issued the NPI (National Provider Identifier) 1174782445 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jessica L Anderson is physically located?
The Jessica L Anderson is situated at the following address: 259 W Chestnut St, Canton, IL 615202465.
What is the Jessica L Anderson's specialty and taxonomy code?
The Jessica L Anderson's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.
On what date did the Jessica L Anderson receive its 1174782445 assignment from the Centers for Medicare & Medicaid Services?
The Jessica L Anderson was assigned its 1174782445 by the Centers for Medicare & Medicaid Services on 2008-06-03.
When was the information pertaining to Jessica L Anderson most recently updated or revised?
The details related to Jessica L Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-03.
NPI Number: 1902809924
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