Individual provider · Type 1 NPI
Shalonda Mardis
Developmental Therapist · Chicago, IL
Practice location
7556 S Essex Ave, 3C
Chicago, IL 60649-3357
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 1801287552
Shalonda Mardis's National Provider Identifier is 1801287552, issued on Feb 16, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 16, 2015.