Jamie Leigh Burgener, B.S.
Individual provider Active NPI Developmental Therapist · Olney, IL
NPI 1821531849 · NPPES record last updated Nov 22, 2016
Key facts
- NPI
- 1821531849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 905 E Main St
Olney, IL 62450-2623 - Phone
- (619) 393-7732
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other providers in Olney, IL
- Madison Bruce
- Amanda Jo Buerster
- Rebecca Buffington
- Jamie K Bump
- Carol Bunting
- Terry Burgener
- Burgin Manor of Olney Inc
- Sandy Burke
- Ashley Bussard
- Kathleen Carey
All providers in Olney, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.