Individual provider · Type 1 NPI

Kathleen Mary Hannon, DT

Developmental Therapist · St. Louis, MO

NPI number 1043654221 Active

Practice location

1177 N Warson Rd
St. Louis, MO 63132-1810

Fax (314) 569-0778

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X0459781 (MO)

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 1043654221

Kathleen Mary Hannon, DT's National Provider Identifier is 1043654221, issued on Apr 18, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 18, 2013.