Stacey Danielle Williamson

Developmental Therapist · Normal, IL

Individual Active NPI

NPI number 1639365232

Practice location

465 Basswood Ln
Normal, IL 61761-5764
Phone
(309) 268-9798
Fax
(309) 268-9798

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NPI record

NPI
1639365232
Entity type
Individual (Type 1)
Enumeration date
September 18, 2007
Last updated
September 18, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Stacey Williamson

Stacey Danielle Williamson is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 465 Basswood Ln, Normal, IL 61761-5764. The NPI number 1639365232 was assigned on September 18, 2007 and the record was last updated on September 18, 2007.

Frequently asked questions

What is the NPI number of Stacey Danielle Williamson?

The NPI number is 1639365232.

What is the phone number of Stacey Williamson?

The phone number listed for the practice location is (309) 268-9798.

Where is Stacey Williamson located?

465 Basswood Ln, Normal, IL 61761-5764.

What is the taxonomy code for Stacey Williamson?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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