MS. DAVETTE M CLARK
NPI 1750417614
Developmental Therapist in Country Club Hills, IL

Active since February 26, 2007
4856 CASTLE DARGAN DR., COUNTRY CLUB HILLS, IL 60478(708) 957-8616(708) 957-8617 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Davette M Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DAVETTE M CLARK (NPI 1750417614) is an individual developmental therapist in Country Club Hills, Illinois and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1750417614
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameMS. DAVETTE M CLARK
Location Address4856 CASTLE DARGAN DR.Country Club Hills, IL 60478-5820
Mailing Address4856 Castle Dargan DriveCountry Club Hills, IL 60478-5820 · (708) 957-8616 · Fax (708) 957-8617
Fax(708) 957-8617
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1750417614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
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.
4856 CASTLE DARGAN DR., Country Club Hills, IL 60478

Other Names 1

Other Name (5)Mrs. Davette M Clark-johnson

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davette Clark's NPI number?

The NPI number for Davette Clark is 1750417614. It was assigned to this individual provider in the NPPES registry on February 26, 2007. The provider is also known as Mrs. Davette M Clark-Johnson.

Where is Davette Clark located?

Davette Clark practices at 4856 Castle Dargan Dr., Country Club Hills, IL 60478. The listed phone number is (708) 957-8616.

What is Davette Clark's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Davette Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.