Cynthia Lyn Mallard in Chebanse - Developmental Therapist
Cynthia Lyn Mallard - NPI 1174733471
Cynthia Lyn Mallard is a Developmental Therapist in Chebanse, Illinois. Cynthia Lyn Mallard practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Cynthia Lyn Mallard is 1174733471. The last update date is 2007-07-08.
Cynthia Lyn Mallard's current location address is 279 N Locust St, Chebanse, Illinois. You can contact this provider via phone number 8156972114 and fax number 8156972640. The mailing address for Cynthia Lyn Mallard is 279 N Locust St, Chebanse, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia Lyn Mallard |
|---|---|
| Address | 279 N Locust St, Chebanse, Illinois |
| Phone Number | 8156972114 |
| Fax Number | 8156972640 |
| Sole Proprietor | Y |
| Credentials | D.T. |
NPI Number Detail
| NPI Number | 1174733471 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 279 N Locust St |
|---|---|
| City | Chebanse |
| State | Illinois (IL) |
| Post Code | 609229778 |
| Phone Number | 8156972114 |
| Fax Number | 8156972640 |
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 Cynthia Lyn Mallard by the Centers for Medicare & Medicaid Services?
The Cynthia Lyn Mallard has been issued the NPI (National Provider Identifier) 1174733471 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Cynthia Lyn Mallard?
The Cynthia Lyn Mallard is physically situated at 279 N Locust St, in the city of Chebanse, state of IL, with the postal code 609229778.
What is the Cynthia Lyn Mallard's specialty and taxonomy code?
The Cynthia Lyn Mallard's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174733471 to Cynthia Lyn Mallard?
The Centers for Medicare & Medicaid Services originally issued the 1174733471 to Cynthia Lyn Mallard on 2007-05-23.
As of what date was the information regarding Cynthia Lyn Mallard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cynthia Lyn Mallard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.