Individual provider · Type 1 NPI
Amy Detrick
Developmental Disabilities Clinic/Center · Fairborn, OH
Practice location
421 Kirkwood Dr
Fairborn, OH 45324-4429
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.).
Other developmental disabilities clinic/center providers in Fairborn
About NPI 1265036982
Amy Detrick's National Provider Identifier is 1265036982, issued on Nov 23, 2020. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Fairborn, OH. The record was last updated on Nov 23, 2020.