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

MRS. STACEY RICHARDSON, DTA

Active

MRS. STACEY RICHARDSON, DTA is a Developmental Therapist healthcare provider located in COUNTRY CLUB HILLS, Illinois. NPI 1740498930 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · COUNTRY CLUB HILLS, IL

Registration Details

NPI Number
1740498930
Provider Type
Individual
Gender
Female
NPI Issued
May 19, 2007 (19.055991834072 yrs)
Last Updated
Jul 8, 2007
License
SR39520701A (IL)

Practice Information

Address
17736 SYCAMORE AVE
COUNTRY CLUB HILLS, IL, 604784870
Browse IL providers · Browse ZIP 60478
Phone
7084081320
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in COUNTRY CLUB HILLS, IL

Name Credential NPI
MS. DAVETTE M CLARK 1750417614
MISS VALERIE L WILSON MA 1144359886
MRS. LYNNETTE DEGRAFFENREID 1396868162
MS. GERALYN L JOHNSON 1104040849
MS. DEBRA G. SIDDALL DEVELOPMENTAL THERAP 1619195062
MARYANN J. SCARBOROUGH DT 1376718965
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.