Amy Childers in Urbana - Developmental Therapist

Amy Childers - NPI 1619186723

Amy Childers is a Developmental Therapist in Urbana, Illinois. Amy Childers practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Amy Childers is 1619186723. The last update date is 2007-07-08.

Amy Childers's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2173262911 and fax number 2173448047. The mailing address for Amy Childers is 611 W Park St, Urbana, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy Childers
Address 611 W Park St, Urbana, Illinois
Phone Number 2173262911
Fax Number 2173448047
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1619186723
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 611 W Park St
City Urbana
State Illinois (IL)
Post Code 618012500
Phone Number 2173262911
Fax Number 2173448047

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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AMY CHILDERS IL EI PROVIDER ID

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FAQs about Amy Childers

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

The Amy Childers has been assigned the NPI (National Provider Identifier) 1619186723 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Amy Childers's physical address?

The Amy Childers is physically located at 611 W Park St, in the city of Urbana, IL, with the postal code 618012500.

What is the Amy Childers's specialty and taxonomy code?

The Amy Childers's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.

On what date did Amy Childers receive its 1619186723 assignment from the Centers for Medicare & Medicaid Services?

The Amy Childers was assigned its 1619186723 on 2007-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Amy Childers last refreshed?

The information related to the Amy Childers, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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