Individual provider · Type 1 NPI
Shirley M. Woodard, DEVELOPMENTAL THERAP
Developmental Therapist · Ullin, IL
Practice location
221 Foster Rd
Ullin, IL 62992-2321
Fax (618) 845-9248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | SW86551101P (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…
About NPI 1801084413
Shirley M. Woodard, DEVELOPMENTAL THERAP's National Provider Identifier is 1801084413, issued on Oct 9, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Ullin, IL. The record was last updated on Jan 7, 2008.