Individual provider · Type 1 NPI

Jessie M. Schaudt

Developmental Therapist · Centralia, IL

NPI number 1174876064 Active

Practice location

299 Swan Ave
Centralia, IL 62801-6127

Call (618) 533-4423 Map

Mailing address

PO Box 1946
Centralia, IL 62801-9127

Specialties and licenses

TaxonomyCodeLicense
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 1174876064

Jessie M. Schaudt's National Provider Identifier is 1174876064, issued on Oct 17, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Centralia, IL. The record was last updated on Oct 17, 2012.