Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vivian Diane Hudson-Davis, DEVELOPMENTALTHERAP

Individual provider Developmental Therapist · NPI 1295048817

Vivian Diane Hudson-Davis, DEVELOPMENTALTHERAP is a Developmental Therapist in Glenwood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

242 S Dante Ave
Glenwood, IL 60425-2058
Phone: (708) 757-3560
Fax: (708) 757-4799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence 1972388 (IL)

Record details

NPI number1295048817
Entity typeIndividual (Type 1)
GenderFemale
Credentials DEVELOPMENTALTHERAP
Sole proprietorYes
NPI enumeratedJuly 24, 2010
Last updated in NPPESJuly 24, 2010

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