Individual provider · Type 1 NPI

Delania Tyevette Wilson

Developmental Disabilities Clinic/Center · Mount Dora, FL

NPI number 1356096770 Active

Practice location

2270 Pine Ave
Mount Dora, FL 32757-6407

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 1356096770

Delania Tyevette Wilson's National Provider Identifier is 1356096770, issued on Feb 14, 2022. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Mount Dora, FL. The record was last updated on Feb 14, 2022.