MRS. CHRISTINE ALEXANDRA DETROIS (NPI# 1740618982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740618982 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE ALEXANDRA DETROIS |
| Other Name | MS. CHRISTINE ALEXANDRA PRIORE |
| Credential | QMHA DT |
| Practice Address |
821 Saginaw St S Salem OR 97302-4121 |
| Practice Telephone | 5035894046 |
| Practice Fax Number | 5034800484 |
| Mailing Telephone | (503) 589-4046 |
| Mailing Fax Number | 5034800484 |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | IL | Agencies | |
| Y | 222Q00000X | Developmental Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 1740618982 | 05 |
| Street Address |
821 SAGINAW ST S |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528059870 | Carlene Benson | Social Worker | 821 Saginaw St S, Salem, OR 97302-4121 | 2005-11-03 |
| 1124640735 | Alexis Amanda Garcia | Counselor | 821 Saginaw St S, Salem, OR 97302-4121 | 2020-05-18 |
| 1316570187 | Jessica Lynn Butler | Counselor | 821 Saginaw St S, Salem, OR 97302-4121 | 2020-02-19 |
| 1306477237 | Tiahna Hillier | Counselor | 821 Saginaw St S, Salem, OR 97302-4121 | 2020-01-29 |
| 1255962254 | Emily Stevens | Counselor | 821 Saginaw St S, Salem, OR 97302-4121 | 2020-01-28 |
| 1790325678 | Tim Engle | Counselor | 821 Saginaw St S, Salem, OR 97302-4121 | 2020-01-08 |
| 1477194785 | Soraya Vanessa Delgado | Community Health Worker | 821 Saginaw St S, Salem, OR 97302-4121 | 2019-10-08 |
| 1194384693 | Tani Barr | Counselor | 821 Saginaw St S, Salem, OR 97302-4121 | 2019-06-07 |
| 1588229959 | Kierra Rowan | Counselor | 821 Saginaw St S, Salem, OR 97302-4121 | 2019-05-01 |
| 1013477462 | Angeline Dominique Willis | Counselor | 821 Saginaw St S, Salem, OR 97302-4121 | 2019-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| 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. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696855 | Ashley Labonte | Developmental Therapist | 242 Lafayette Street, Salem, MA 01970 | 2016-09-01 |
| 1487072617 | Amanda Houle | Developmental Therapist | 16 Woodmeadow Dr, Salem, NH 03079-2336 | 2014-04-04 |
| 1568677466 | Carolyn Bates Richman | Developmental Therapist | 275 Lafayette St, Salem, MA 01970-5404 | 2007-05-14 |
| 1649732819 | Rachel Susan Shwartz | Developmental Therapist | 275 Lafayette St, Salem, MA 01970-5404 | 2019-04-04 |
| 1306342829 | Kamie Fessenden | Developmental Therapist | 275 Lafayette St, Salem, MA 01970-5404 | 2018-04-03 |
| 1184120552 | Staci Silva | Developmental Therapist | 275 Lafayette St, Salem, MA 01970-5404 | 2018-04-03 |
| 1821594334 | Keri Bernard | Developmental Therapist | 275 Lafayette St, Salem, MA 01970-5404 | 2018-04-03 |
| 1336354240 | Brenda Ann Galante | Developmental Therapist | 275 Lafayette St, Salem, MA 01970-5404 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456486 | Misten M Daniels | Developmental Therapist | 2105 Fairhaven Ct, West Linn, OR 97068-3773 | 2019-09-16 |
Please comment or provide details below to improve the information on MRS. CHRISTINE ALEXANDRA DETROIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.