SearchIllinoisDevelopmental Therapist

Amanda Herzog

NPI 1457526444 · on the registry since 2008

Practice

Address
1007 Wilshire Ct
Champaign, IL 61821
Phone
(217) 493-2265

Registry record

Primary taxonomy
Developmental Therapist
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois