Individual provider · Type 1 NPI

Stacey Richardson, DTA

Developmental Therapist · Country Club Hills, IL

NPI number 1740498930 Active

Practice location

17736 Sycamore Ave
Country Club Hills, IL 60478-4870

Call (708) 408-1320 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XSR39520701A (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 1740498930

Stacey Richardson, DTA's National Provider Identifier is 1740498930, issued on May 19, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Country Club Hills, IL. The record was last updated on Jul 8, 2007.