Nicole Shepherd

Developmental Therapist · Villa Park, IL

Individual Active NPI

NPI number 1669237186

Practice location

18w261 Knollwood Ln
Villa Park, IL 60181-3636
Phone
(630) 487-7405

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NPI record

NPI
1669237186
Entity type
Individual (Type 1)
Enumeration date
February 14, 2024
Last updated
February 14, 2024
Certified
February 14, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Nicole Shepherd

Nicole Shepherd is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 18w261 Knollwood Ln, Villa Park, IL 60181-3636. The NPI number 1669237186 was assigned on February 14, 2024 and the record was last updated on February 14, 2024.

Frequently asked questions

What is the NPI number of Nicole Shepherd?

The NPI number is 1669237186.

What is the phone number of Nicole Shepherd?

The phone number listed for the practice location is (630) 487-7405.

Where is Nicole Shepherd located?

18w261 Knollwood Ln, Villa Park, IL 60181-3636.

What is the taxonomy code for Nicole Shepherd?

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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