Individual provider · Type 1 NPI
Stacey Lebro, D.T.
Developmental Therapist · Edwardsville, IL
Practice location
1071 Catalina Dr
Edwardsville, IL 62025-5173
Fax (618) 656-8192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | SL43410498P (IL) |
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 1265553796
Stacey Lebro, D.T.'s National Provider Identifier is 1265553796, issued on Apr 3, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Edwardsville, IL. The record was last updated on Jul 8, 2007.