Individual provider · Type 1 NPI
Stephanie Shadle
Developmental Therapist · Dieterich, IL
Practice location
304 Prairie Dr
Dieterich, IL 62424-1127
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…
Other developmental therapist providers in Dieterich
About NPI 1750507422
Stephanie Shadle's National Provider Identifier is 1750507422, issued on Apr 18, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Dieterich, IL. The record was last updated on Jul 8, 2007.