Laura Elizabeth Marley

Individual provider Active NPI Developmental Therapist · Ramsey, IL

NPI 1477249043 · NPPES record last updated Apr 17, 2023

Key facts

NPI
1477249043
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
3272 N 1000 St
Ramsey, IL 62080-4141
Phone
(217) 827-5392
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X IL Yes

Addresses

Primary practice location

3272 N 1000 St
Ramsey, IL 62080-4141

Mailing address

3272 N 1000 St
Ramsey, IL 62080-4141
Phone (217) 827-5392

Other providers in Ramsey, IL

All providers in Ramsey, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.