Megan Allen

Individual provider Active NPI Developmental Therapist · Olney, IL

NPI 1669739140 · NPPES record last updated Apr 20, 2012

Key facts

NPI
1669739140
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
905 E Main St
Olney, IL 62450-2623
Phone
(618) 393-7732
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Specialists of Southeastern Il, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

905 E Main St
Olney, IL 62450-2623

Mailing address

905 E Main St
Olney, IL 62450-2623
Phone (618) 393-7732

Other providers in Olney, IL

All providers in Olney, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.