Elaine B Combs, DEVELOPMENTAL THERAP

NPI #1417169947 in Herrin, Illinois

Provider Information

NPI Number: 1417169947
Entity Type: Individual
Name: Elaine B Combs, DEVELOPMENTAL THERAP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: DEVELOPMENTAL THERAP
Enumeration Date: May 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 708 N 16TH ST
City: Herrin
State: Illinois
ZIP Code: 62948-1219
Phone: (618) 942-7481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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