Diana Lynn Stanley

NPI #1972739407 in Troy, Illinois

Provider Information

NPI Number: 1972739407
Entity Type: Individual
Name: Diana Lynn Stanley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jun 10, 2009
Last Updated: Jun 10, 2009

Practice Location

Address: 229 SHADOWBROOKE
City: Troy
State: Illinois
ZIP Code: 62294-3631
Phone: (618) 505-0167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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