Individual provider · Type 1 NPI

Lisa Shondell Davis, D.T.

Developmental Therapist · Springfield, IL

NPI number 1487963286 Active

Practice location

1319 W Lawrence Ave
Springfield, IL 62704-2315

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 1487963286

Lisa Shondell Davis, D.T.'s National Provider Identifier is 1487963286, issued on Sep 28, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Springfield, IL. The record was last updated on Sep 28, 2010.