Stacy Peterson in Skokie - Developmental Therapist
Stacy Peterson - NPI 1942460563
Stacy Peterson is a Developmental Therapist in Skokie, Illinois. Stacy Peterson practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Stacy Peterson is 1942460563. The last update date is 2008-06-17.
Stacy Peterson's current location address is 8615 Crawford Ave, Skokie, Illinois. You can contact this provider via phone number 6307761936. The mailing address for Stacy Peterson is 8615 Crawford Ave, Skokie, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Peterson |
|---|---|
| Address | 8615 Crawford Ave, Skokie, Illinois |
| Phone Number | 6307761936 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1942460563 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 8615 Crawford Ave |
|---|---|
| City | Skokie |
| State | Illinois (IL) |
| Post Code | 600762125 |
| Phone Number | 6307761936 |
| 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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stacy Peterson by the Centers for Medicare & Medicaid Services?
The Stacy Peterson has been assigned the NPI (National Provider Identifier) 1942460563 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Stacy Peterson is physically located?
The Stacy Peterson is physically situated at the following address: 8615 Crawford Ave, Skokie, IL, 600762125.
What is Stacy Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stacy Peterson is Developmental Therapist, and the taxonomy code that classifies this field of practice is 222Q00000X.
On what date did the Stacy Peterson receive the assignment of its 1942460563 from the Centers for Medicare & Medicaid Services?
The Stacy Peterson was issued its 1942460563 by the Centers for Medicare & Medicaid Services on 2008-06-17.
As of what date was the information pertaining to Stacy Peterson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacy Peterson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-17.
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