Ellie White in Charleston - Developmental Therapist

Ellie White - NPI 1649391525

Ellie White is a Developmental Therapist in Charleston, Illinois. Ellie White practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Ellie White is 1649391525. The last update date is 2007-07-08.

Ellie White's current location address is 1530 Lincoln Ave, Charleston, Illinois. You can contact this provider via phone number 2173480127 and fax number 2173480740. The mailing address for Ellie White is 1530 Lincoln Ave, Charleston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellie White
Address 1530 Lincoln Ave, Charleston, Illinois
Phone Number 2173480127
Fax Number 2173480740
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1649391525
Provider Enumeration Date 2007-04-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1530 Lincoln Ave
City Charleston
State Illinois (IL)
Post Code 619203057
Phone Number 2173480127
Fax Number 2173480740

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
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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FAQs about Ellie White

What is the unique 10-digit identification code issued to Ellie White by the Centers for Medicare & Medicaid Services?

The Ellie White has been assigned the NPI (National Provider Identifier) 1649391525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Ellie White's facilities are geographically located?

The facilities of Ellie White are physically situated at the following location: 1530 Lincoln Ave, Charleston, IL, 619203057.

What is Ellie White's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ellie White is Developmental Therapist, and the taxonomy code that classifies this field of practice is 222Q00000X.

When did Ellie White receive its 1649391525 assignment?

The Ellie White was assigned its 1649391525 on 2007-04-02, which is the date when this unique identifier was issued to the organization.

When was the information regarding Ellie White most recently updated?

The details pertaining to the Ellie White, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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