Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON CLARK, B.S
ActiveMRS. SHANNON CLARK, B.S is a Developmental Therapist healthcare provider located in PALOS HEIGHTS, Illinois. NPI 1417079104 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · PALOS HEIGHTS, IL
Registration Details
- NPI Number
- 1417079104
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2007 (19.336015338714 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
7440 W COLLEGE DRSUITE 200PALOS HEIGHTS, IL, 604631375Browse IL providers · Browse ZIP 60463
- Phone
- 7084487423
- Fax
- 7084487843
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in PALOS HEIGHTS, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. LISA MUTTER | B.S. | 1396867057 |
| MRS. NAFEES H RASUL | DT | 1780805515 |
| JUDITH VANVOSSEN | — | 1346404639 |
| ASHLEY BOOMSMA | — | 1184083727 |
| BRENDA FITZGERALD | — | 1982318762 |
| DIANA LESTER | — | 1982421475 |
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.