Alexandra Shulenburger in Champaign - Developmental Therapist
Alexandra Shulenburger - NPI 1164641023
Alexandra Shulenburger is a Developmental Therapist in Champaign, Illinois. Alexandra Shulenburger practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Alexandra Shulenburger is 1164641023. The last update date is 2007-07-08.
Alexandra Shulenburger's current location address is 1304 W Bradley Ave, Champaign, Illinois. You can contact this provider via phone number 2173569176 and fax number 2173569851. The mailing address for Alexandra Shulenburger is 1304 W Bradley Ave, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alexandra Shulenburger |
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Address | 1304 W Bradley Ave, Champaign, Illinois |
Phone Number | 2173569176 |
Fax Number | 2173569851 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1164641023 |
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Provider Enumeration Date | 2007-04-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1304 W Bradley Ave |
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City | Champaign |
State | Illinois (IL) |
Post Code | 618212035 |
Phone Number | 2173569176 |
Fax Number | 2173569851 |
Provider's Primary Taxonomy Detail
Speciality | Developmental Therapist |
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Taxonomy | 222Q00000X |
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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What is the Alexandra Shulenburger's unique identification number?
The Alexandra Shulenburger has been assigned the NPI (National Provider Identifier) Number 1164641023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Alexandra Shulenburger's facilities are situated?
The facilities of Alexandra Shulenburger are physically located at the following address: 1304 W Bradley Ave, Champaign, IL, 618212035.
What is the area of specialization for Alexandra Shulenburger, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alexandra Shulenburger is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 222Q00000X.
When did the Alexandra Shulenburger receive its 1164641023?
The Alexandra Shulenburger was issued its 1164641023 on 2007-04-25, which is the date when the organization was assigned this unique identifier.
When was the Alexandra Shulenburger's information last updated?
The Alexandra Shulenburger's information was last updated on 2007-07-08.