Individual provider · Type 1 NPI

Pam A. Hartle

Developmental Disabilities Clinic/Center · Ralston, NE

NPI number 1225922396 Active

Practice location

5720 S 77th St
Ralston, NE 68127-4202

Call (531) 200-0563 Map

Fax (531) 867-4811

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone 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.).

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About NPI 1225922396

Pam A. Hartle's National Provider Identifier is 1225922396, issued on Jun 4, 2025. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Ralston, NE. The record was last updated on Jun 4, 2025.