Paula Jo Rush Shumpert in O Fallon - Developmental Therapist

Paula Jo Rush Shumpert - NPI 1598977993

Paula Jo Rush Shumpert is a Developmental Therapist in O Fallon, Illinois. Paula Jo Rush Shumpert practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Paula Jo Rush Shumpert is 1598977993. The last update date is 2007-07-08.

Paula Jo Rush Shumpert's current location address is 1442 Schwarz Meadow Dr, O Fallon, Illinois. You can contact this provider via phone number 6185508898. The mailing address for Paula Jo Rush Shumpert is 1442 Schwarz Meadow Dr, O Fallon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Paula Jo Rush Shumpert
Address 1442 Schwarz Meadow Dr, O Fallon, Illinois
Phone Number 6185508898
Fax Number
Sole Proprietor Y
Credentials DT

NPI Number Detail

NPI Number 1598977993
Provider Enumeration Date 2007-05-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1442 Schwarz Meadow Dr
City O Fallon
State Illinois (IL)
Post Code 622696709
Phone Number 6185508898
Fax Number

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
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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FAQs about Paula Jo Rush Shumpert

What is the Paula Jo Rush Shumpert's unique identification number?

The Paula Jo Rush Shumpert has been assigned the NPI (National Provider Identifier) Number 1598977993 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Paula Jo Rush Shumpert is physically located?

The Paula Jo Rush Shumpert is situated at the following address: 1442 Schwarz Meadow Dr, O Fallon, IL 622696709.

What is the Paula Jo Rush Shumpert's specialty and taxonomy code?

The Paula Jo Rush Shumpert's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.

On what date did the Paula Jo Rush Shumpert receive its 1598977993 assignment from the Centers for Medicare & Medicaid Services?

The Paula Jo Rush Shumpert was assigned its 1598977993 by the Centers for Medicare & Medicaid Services on 2007-05-06.

As of what date was the information regarding Paula Jo Rush Shumpert, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Paula Jo Rush Shumpert, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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