Individual provider · Type 1 NPI

Shannon Zimmer

Developmental Therapist · La Grange, IL

NPI number 1013322007 Active

Practice location

54 Bluff Ave
La Grange, IL 60525-3678

Fax (630) 787-0484

Specialties and licenses

Taxonomy	Code	License
Developmental Therapist Primary	222Q00000X	None listed

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 Deve…

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About NPI 1013322007

Shannon Zimmer's National Provider Identifier is 1013322007, issued on Jun 27, 2014. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in La Grange, IL. The record was last updated on Jun 27, 2014.