Individual provider · Type 1 NPI

Shannon Ellison, MED

Developmental Therapist · Country Club Hills, IL

NPI number 1255815791 Active

Practice location

3818 169th St
Country Club Hills, IL 60478-2138

Call (317) 413-4275 Map

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 1255815791

Shannon Ellison, MED's National Provider Identifier is 1255815791, issued on Sep 20, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Country Club Hills, IL. The record was last updated on Sep 20, 2018.