Individual provider · Type 1 NPI

Susan Feczko, STA

Developmental Therapist · Chicago, IL

NPI number 1043344211 Active

Practice location

1010 N Hooker St Ste 301
Chicago, IL 60642-4633

Mailing address

1910 S Indiana Ave Apt 319
Chicago, IL 60616-1577

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801X217000074 (IL)
Developmental Therapist Primary 222Q00000XNone 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 1043344211

Susan Feczko, STA's National Provider Identifier is 1043344211, issued on Mar 16, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 6, 2014.