Individual provider · Type 1 NPI
Shannon Patrice Tierney, DT
Developmental Therapist · Spring Grove, IL
Practice location
11104 Sandpiper Ct
Spring Grove, IL 60081-9629
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…
About NPI 1730453713
Shannon Patrice Tierney, DT's National Provider Identifier is 1730453713, issued on Mar 8, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Spring Grove, IL. The record was last updated on Mar 8, 2012.