Carmen Lynnette Tibbs in South Holland - Developmental Therapist
Carmen Lynnette Tibbs - NPI 1639371222
Carmen Lynnette Tibbs is a Developmental Therapist in South Holland, Illinois. Carmen Lynnette Tibbs practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Carmen Lynnette Tibbs is 1639371222. The last update date is 2007-07-08.
Carmen Lynnette Tibbs's current location address is 65 W 152nd Pl, South Holland, Illinois. You can contact this provider via phone number 7085391565 and fax number 7087464389. The mailing address for Carmen Lynnette Tibbs is 65 W 152nd Pl, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carmen Lynnette Tibbs |
|---|---|
| Address | 65 W 152nd Pl, South Holland, Illinois |
| Phone Number | 7085391565 |
| Fax Number | 7087464389 |
| Sole Proprietor | Y |
| Credentials | M.ED., CDS |
NPI Number Detail
| NPI Number | 1639371222 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 65 W 152nd Pl |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 604731002 |
| Phone Number | 7085391565 |
| Fax Number | 7087464389 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | CT32520898P |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CT32520898P | IL | PART C EI CREDENTIAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Carmen Lynnette Tibbs by the Centers for Medicare & Medicaid Services?
The Carmen Lynnette Tibbs has been issued the NPI (National Provider Identifier) 1639371222 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Carmen Lynnette Tibbs?
The Carmen Lynnette Tibbs is situated at 65 W 152Nd Pl, in the city of South Holland, state of IL, with the zip code 604731002.
What is Carmen Lynnette Tibbs's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Carmen Lynnette Tibbs is Developmental Therapist, and the taxonomy code that categorizes this field of expertise is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639371222 to Carmen Lynnette Tibbs?
The Carmen Lynnette Tibbs received its 1639371222 assignment from the Centers for Medicare & Medicaid Services on 2007-06-05.
When was the information pertaining to Carmen Lynnette Tibbs most recently updated or revised?
The details related to Carmen Lynnette Tibbs, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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