Carol L Johnson in Sycamore - Developmental Therapist

Carol L Johnson - NPI 1649484882

Carol L Johnson is a Developmental Therapist in Sycamore, Illinois. Carol L Johnson practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Carol L Johnson is 1649484882. The last update date is 2007-07-08.

Carol L Johnson's current location address is 245 W Exchange St Ste 4, Sycamore, Illinois. You can contact this provider via phone number 8158959227 and fax number 8158952971. The mailing address for Carol L Johnson is 245 W Exchange St Ste 4, Sycamore, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol L Johnson
Address 245 W Exchange St Ste 4, Sycamore, Illinois
Phone Number 8158959227
Fax Number 8158952971
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1649484882
Provider Enumeration Date 2007-05-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 245 W Exchange St Ste 4
City Sycamore
State Illinois (IL)
Post Code 601781495
Phone Number 8158959227
Fax Number 8158952971

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 Carol L Johnson

What is the unique 10-digit identification code assigned to Carol L Johnson by the Centers for Medicare & Medicaid Services?

The Carol L Johnson has been issued the NPI (National Provider Identifier) 1649484882, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Carol L Johnson is physically located?

The Carol L Johnson is physically situated at the following address: 245 W Exchange St Ste 4, Sycamore, IL, 601781495.

What is Carol L Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carol L Johnson's area of specialization is Developmental Therapist, and the corresponding taxonomy code that categorizes this field of practice is 222Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1649484882 to Carol L Johnson?

The Carol L Johnson received its 1649484882 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.

When was the information related to Carol L Johnson most recently updated or refreshed?

The details pertaining to the Carol L Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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