Individual provider · Type 1 NPI
Stephanie Petrich
Developmental Therapist · Aurora, IL
Practice location
2265 Stoughton Dr
Aurora, IL 60502-6247
Mailing address
2265 Stoughton Drive
Aurora, IL 60502-6247
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 1780046615
Stephanie Petrich's National Provider Identifier is 1780046615, issued on Mar 21, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Aurora, IL. The record was last updated on Mar 21, 2016.