Carly Jensen

Developmental Therapist · New Lenox, IL

Individual Active NPI

NPI number 1295008167

Practice location

174 Haines Avenue
New Lenox, IL 60451-1602
Phone
(815) 603-8414

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NPI record

NPI
1295008167
Entity type
Individual (Type 1)
Enumeration date
February 22, 2012
Last updated
November 19, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X 2381813 IL

Mailing address

174 Haines Ave
New Lenox, IL 60451-1602
Phone
(815) 603-8414

About Carly Jensen

Carly Jensen is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 174 Haines Avenue, New Lenox, IL 60451-1602. The NPI number 1295008167 was assigned on February 22, 2012 and the record was last updated on November 19, 2012.

Carly Jensen lists a license in the registry: #2381813 (IL) for Developmental Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carly Jensen?

The NPI number is 1295008167.

What is the phone number of Carly Jensen?

The phone number listed for the practice location is (815) 603-8414.

Where is Carly Jensen located?

174 Haines Avenue, New Lenox, IL 60451-1602.

What is the taxonomy code for Carly Jensen?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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