Waneta Deshon Willis-Cooper in Hammond - Developmental Therapist
Waneta Deshon Willis-Cooper - NPI 1053584938
Waneta Deshon Willis-Cooper is a Developmental Therapist in Hammond, Indiana. Waneta Deshon Willis-Cooper practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Waneta Deshon Willis-Cooper is 1053584938. The last update date is 2015-04-06.
Waneta Deshon Willis-Cooper's current location address is 6116 Marshall Ave, Hammond, Indiana. You can contact this provider via phone number 2198520998. The mailing address for Waneta Deshon Willis-Cooper is 6116 Marshall Ave, Hammond, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Waneta Deshon Willis-Cooper |
|---|---|
| Address | 6116 Marshall Ave, Hammond, Indiana |
| Phone Number | 2198520998 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053584938 |
|---|---|
| Provider Enumeration Date | 2008-04-10 |
| Last Updated Date | 2015-04-06 |
Provider Mailing Address Detail
| Address | 6116 Marshall Ave |
|---|---|
| City | Hammond |
| State | Indiana (IN) |
| Post Code | 463231054 |
| Phone Number | 2198520998 |
| Fax Number |
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 identification code assigned to Waneta Deshon Willis-Cooper by the Centers for Medicare & Medicaid Services?
The Waneta Deshon Willis-Cooper has been issued the NPI (National Provider Identifier) 1053584938, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Waneta Deshon Willis-Cooper is located?
The Waneta Deshon Willis-Cooper is situated at the following address: 6116 Marshall Ave, Hammond, IN, 463231054.
What is Waneta Deshon Willis-Cooper's area of expertise and its corresponding taxonomy classification?
The Waneta Deshon Willis-Cooper's field of specialization is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their areas of practice.
When did the Waneta Deshon Willis-Cooper receive its 1053584938?
The Waneta Deshon Willis-Cooper was issued its 1053584938 on 2008-04-10, which is the date when the organization was assigned this unique identifier.
When was the information related to Waneta Deshon Willis-Cooper most recently updated or refreshed?
The details pertaining to the Waneta Deshon Willis-Cooper, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-04-06.
NPI Number: 1881699460
Address: 8080 N Central Expy, Dallas, TX