Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE SHADLE
Active Sole ProprietorSTEPHANIE SHADLE is a Developmental Therapist healthcare provider located in DIETERICH, Illinois. NPI 1750507422 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · DIETERICH, IL
Registration Details
- NPI Number
- 1750507422
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2007 (19.336017204131 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
304 PRAIRIE DRDIETERICH, IL, 624241127Browse IL providers · Browse ZIP 62424
- Phone
- 2179255191
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in DIETERICH, IL
| Name | Credential | NPI |
|---|---|---|
| MORGAN RAE LIDY | — | 1164026662 |
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.