Stephanie Shadle
Developmental Therapist · Dieterich, IL
NPI number
1750507422
Practice location
304 Prairie DrDieterich, IL 62424-1127
- Phone
- (217) 925-5191
NPI record
- NPI
- 1750507422
- Entity type
- Individual (Type 1)
- Enumeration date
- April 18, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Developmental Therapist Primary | 222Q00000X |
— | — |
About Stephanie Shadle
Stephanie Shadle is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 304 Prairie Dr, Dieterich, IL 62424-1127. The NPI number 1750507422 was assigned on April 18, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Stephanie Shadle?
The NPI number is 1750507422.
What is the phone number of Stephanie Shadle?
The phone number listed for the practice location is (217) 925-5191.
Where is Stephanie Shadle located?
304 Prairie Dr, Dieterich, IL 62424-1127.
What is the taxonomy code for Stephanie Shadle?
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.
Other Developmental Therapist providers in Dieterich
- Morgan Rae Lidy208 S Main St