Shannon Patrice Tierney, DT

Individual provider Developmental Therapist · NPI 1730453713

Shannon Patrice Tierney, DT is a Developmental Therapist in Spring Grove, Illinois. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since: 2012

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Practice location Address checks out

11104 Sandpiper Ct
Spring Grove, IL 60081-9629
Phone: (847) 912-6623

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Specialties & licences

Developmental Therapist (primary)	Taxonomy 222Q00000X

Record details

NPI number	1730453713
Entity type	Individual (Type 1)
Gender	Female
Credentials	DT
Sole proprietor	Yes
NPI enumerated	March 8, 2012
Last updated in NPPES	March 8, 2012