Individual provider · Type 1 NPI
Marlene Y. Samuels, MED-WAIVER PROVIDER
Developmental Disabilities Clinic/Center · Port St. Lucie, FL
Practice location
4241 SW Hagaplan St
Port St. Lucie, FL 34953-6583
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
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.).
Another provider at this address
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About NPI 1174037592
Marlene Y. Samuels, MED-WAIVER PROVIDER's National Provider Identifier is 1174037592, issued on Nov 21, 2017. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Port St. Lucie, FL. The record was last updated on Nov 21, 2017.