Individual provider · Type 1 NPI
Shannon Cooke
Developmental Therapist · Richmond, VA
Practice location
200 N 22nd St
Richmond, VA 23223-7020
Fax (571) 556-2019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 3935 (VA) |
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 1174420160
Shannon Cooke's National Provider Identifier is 1174420160, issued on Oct 22, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Richmond, VA. The record was last updated on Oct 22, 2026.