Individual provider · Type 1 NPI

Stacey Lynn Conner

Developmental Therapist · St. Charles, IL

NPI number 1124372289 Active

Practice location

910 Manley Rd
St. Charles, IL 60174

Call (630) 709-9271 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist 222Q00000XNone listed
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 1124372289

Stacey Lynn Conner's National Provider Identifier is 1124372289, issued on Oct 28, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Charles, IL. The record was last updated on Dec 10, 2018.