Individual
REBECCA LYNN WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MT-BC, DT
Contact information
Practice address
314 CATALPA AVE, ITASCA, IL 60143-1743
(630) 890-1113
Mailing address
314 CATALPA AVE, ITASCA, IL 60143-1743
(630) 890-1113
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
07/15/2013
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