Individual provider · Type 1 NPI
Denise Oliver Johnson-Mason
Developmental Disabilities Clinic/Center · Norfolk, VA
Practice location
3128 Illinois Ave
Norfolk, VA 23513-4128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | 6650 (VA) |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1114792942
Denise Oliver Johnson-Mason's National Provider Identifier is 1114792942, issued on Nov 21, 2023. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Norfolk, VA. The record was last updated on Nov 21, 2023.