Individual provider · Type 1 NPI

Shannon Stanush, EIS

Developmental Therapist · Lytle, TX

NPI number 1124329933 Active

Practice location

19965 FM 3175
Lytle, TX 78052-3481

Call (210) 357-0395 Map

Fax (830) 709-5493

Mailing address

PO Box 725
Lytle, TX 78052-0725

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X093738 (TX)

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 1124329933

Shannon Stanush, EIS's National Provider Identifier is 1124329933, issued on Nov 10, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lytle, TX. The record was last updated on Nov 10, 2010.