SearchIllinois222Q00000X

Debara Shady-Dahl, DEVELOPMENTAL THERAP

NPI 1841310794 · on the registry since 2007 · sole proprietor

Practice

Address
109 Linden Dr
Colona, IL 61241
Phone
(309) 738-8969
Fax
(309) 949-2135

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois