Christa J Myers, DEVELOPMENTAL THERAP
Individual provider Active NPI Day Training/Habilitation Specialist · Bloomingdale, IN
NPI 1962531202 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962531202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 10823 N Veach Rd
Bloomingdale, IN 47832-8032 - Phone
- (765) 597-2403
- Fax
- (765) 597-2405
- NPI assigned
- Mar 4, 2007
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
10823 N Veach Rd
Bloomingdale, IN 47832-8032
Mailing address
10823 N Veach Rd
Bloomingdale, IN 47832-8032
Phone (765) 597-2403
Other providers in Bloomingdale, IN
All providers in Bloomingdale, IN · Day Training/Habilitation Specialist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.