DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY LEBRO, D.T.

Active Sole Proprietor

STACEY LEBRO, D.T. is a Developmental Therapist healthcare provider located in EDWARDSVILLE, Illinois. NPI 1265553796 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · EDWARDSVILLE, IL

Registration Details

NPI Number
1265553796
Provider Type
Individual
Gender
Female
NPI Issued
Apr 3, 2007 (19.345726148314 yrs)
Last Updated
Jul 8, 2007
License
SL43410498P (IL)
Sole Proprietor
Yes

Practice Information

Address
1071 CATALINA DR
EDWARDSVILLE, IL, 620255173
Browse IL providers · Browse ZIP 62025
Phone
6183044448
Fax
6186568192
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in EDWARDSVILLE, IL

Name Credential NPI
MRS. CHANTILLE RENEE SCHRAM DT 1619138435
MISS TAMMY LYNN WALLS 1124261680
MRS. LISA MARIE STUBITS 1790929461
TANIKA HARPER-HOOVER 1881996304
KELLY LYNNE MCFERRAN-CRUTHIS 1558633412
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.