Individual provider · Type 1 NPI
Stacia Clark
Developmental Therapist · Aurora, IL
Practice location
2695 Leyland Ln
Aurora, IL 60504-6049
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 1578828448
Stacia Clark's National Provider Identifier is 1578828448, issued on Jul 6, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Aurora, IL. The record was last updated on Jul 6, 2012.