Individual provider · Type 1 NPI

Shacoya Montgomery

Developmental Disabilities Clinic/Center · Lakeland, FL

NPI number 1316416381 Active

Practice location

3909 Sandhill Crane Dr
Lakeland, FL 33811-1862

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 1316416381

Shacoya Montgomery's National Provider Identifier is 1316416381, issued on Nov 19, 2018. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Lakeland, FL. The record was last updated on Sep 29, 2026.