Individual provider · Type 1 NPI

Ellen Shuherk

Developmental Therapist · Fort Wayne, IN

NPI number 1780166256 Active

Practice location

4935 Hillegas Rd
Fort Wayne, IN 46818-1934

Mailing address

PO Box 80867
Fort Wayne, IN 46898-0867

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone 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 1780166256

Ellen Shuherk's National Provider Identifier is 1780166256, issued on Aug 31, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 31, 2018.