Individual provider · Type 1 NPI
Nicole Shepherd
Developmental Therapist · Villa Park, IL
Practice location
18W261 Knollwood Ln
Villa Park, IL 60181-3636
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 1669237186
Nicole Shepherd's National Provider Identifier is 1669237186, issued on Feb 14, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Villa Park, IL. The record was last updated on Feb 14, 2024.