Vivian Faye Skelley, CDS

NPI #1710192653 in Charleston, Illinois

Provider Information

NPI Number: 1710192653
Entity Type: Individual
Name: Vivian Faye Skelley, CDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Credential: CDS
Enumeration Date: May 14, 2007
Last Updated: Jul 15, 2016

Practice Location

Address: 7704 DEERPATH RD
City: Charleston
State: Illinois
ZIP Code: 61920-8735
Phone: (217) 508-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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