Individual provider · Type 1 NPI
Tera Goodman
Developmental Disabilities Clinic/Center · Hardy, AR
Practice location
15 Barber Dr
Hardy, AR 72542-9109
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.).
About NPI 1215348552
Tera Goodman's National Provider Identifier is 1215348552, issued on May 8, 2014. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Hardy, AR. The record was last updated on May 8, 2014.