Betty Lynnette Deckard in Sullivan - Developmental Therapist
Betty Lynnette Deckard - NPI 1316155187
Betty Lynnette Deckard is a Developmental Therapist in Sullivan, Illinois. Betty Lynnette Deckard practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Betty Lynnette Deckard is 1316155187. The last update date is 2007-07-08.
Betty Lynnette Deckard's current location address is Rr 3 Box 231a, Sullivan, Illinois. You can contact this provider via phone number 2177976746 and fax number 2177976939. The mailing address for Betty Lynnette Deckard is Rr 3 Box 231a, Sullivan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Betty Lynnette Deckard |
|---|---|
| Address | Rr 3 Box 231a, Sullivan, Illinois |
| Phone Number | 2177976746 |
| Fax Number | 2177976939 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316155187 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Rr 3 Box 231a |
|---|---|
| City | Sullivan |
| State | Illinois (IL) |
| Post Code | 619519292 |
| Phone Number | 2177976746 |
| Fax Number | 2177976939 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | BD23950999P |
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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 Betty Lynnette Deckard's unique identification number?
The Betty Lynnette Deckard has been assigned the NPI (National Provider Identifier) Number 1316155187 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Betty Lynnette Deckard is physically located?
The Betty Lynnette Deckard is situated at the following address: Rr 3 Box 231A, Sullivan, IL 619519292.
What is Betty Lynnette Deckard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Betty Lynnette Deckard is Developmental Therapist, and the taxonomy code that categorizes this field of expertise is 222Q00000X.
On what date was the 1316155187 assigned to Betty Lynnette Deckard?
The Betty Lynnette Deckard was issued its 1316155187 on 2007-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Betty Lynnette Deckard most recently updated or refreshed?
The details pertaining to the Betty Lynnette Deckard, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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