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Mrs. Kelly R. Broderick, LPC
Developmental Therapist in La Grange, Illinois
NPI 1881817443

Kelly R. Broderick is a Developmental Therapist based in La Grange, IL. Kelly R. Broderick practices in La Grange, IL and has the professional credentials of LPC. The NPI Number for Kelly R. Broderick is 1881817443 and holds a License No. (Illinois).

The current practice location address for Kelly R. Broderick is 515 S Ashland Ave, La Grange, IL and can be reached out via phone at 708-352-1880 and via fax at 708-352-1880.

Location: 515 S Ashland Ave, La Grange, IL, 60525-2812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881817443
Provider Name
Kelly R. Broderick
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
515 S Ashland Ave, La Grange, IL, 60525-2812
Phone Number
708-352-1880
Fax Number
708-352-1880
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
515 S Ashland Ave
City
La Grange
State
Illinois
Zip
60525-2812
Phone Number
708-352-1880
Fax Number
708-352-1880
person
Provider Business Mailing Address Details
Address
515 S Ashland Ave
City
La Grange
State
Illinois
Zip
60525-2812
Phone Number
708-352-1880
Fax Number
708-352-1880
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Developmental Therapist
Speciality
-
Taxonomy
222Q00000X
License No.
(Illinois)
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
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