Individual provider · Type 1 NPI
Shannon Colleen Shelby
Developmental Therapist · Lynwood, IL
Practice location
20100 Arroyo Ave
Lynwood, IL 60411-1563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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 1265131189
Shannon Colleen Shelby's National Provider Identifier is 1265131189, issued on Feb 28, 2023. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lynwood, IL. The record was last updated on Feb 28, 2023.