Individual provider · Type 1 NPI
Shirley Temple
Developmental Disabilities Clinic/Center · Brandon, FL
Practice location
1505 Spitz Ct
Brandon, FL 33511-4816
Fax (888) 870-9630
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.).
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About NPI 1245872092
Shirley Temple's National Provider Identifier is 1245872092, issued on Oct 14, 2019. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Brandon, FL. The record was last updated on Oct 14, 2019.