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Christine Mayworm, DTH,PSYCHOLOGY
Counselor in Libertyville, Illinois
NPI 1972713022

Christine Mayworm is a Counselor based in Libertyville, IL. Christine Mayworm practices in Libertyville, IL and has the professional credentials of DTH,PSYCHOLOGY. The NPI Number for Christine Mayworm is 1972713022 and holds a License No. CM08170993P (Illinois).

The current practice location address for Christine Mayworm is 150 Blueberry Rd, Libertyville, IL and can be reached out via phone at 847-816-0013 and via fax at 847-680-3311.

Location: 150 Blueberry Rd, Libertyville, IL, 60048-2167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972713022
Provider Name
Christine Mayworm
Credential
DTH,PSYCHOLOGY
Provider Entity Type
Individual
Gender
Female
Address
150 Blueberry Rd, Libertyville, IL, 60048-2167
Phone Number
847-816-0013
Fax Number
847-680-3311
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CM08170993P 01 IL EARLY INTERVENTION NUMBER
institution
Provider Business Practice Location Address Details
Address
150 Blueberry Rd
City
Libertyville
State
Illinois
Zip
60048-2167
Phone Number
847-816-0013
Fax Number
847-680-3311
person
Provider Business Mailing Address Details
Address
150 Blueberry Rd
City
Libertyville
State
Illinois
Zip
60048-2167
Phone Number
847-816-0013
Fax Number
847-680-3311
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.
CM08170993P (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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