Individual provider · Type 1 NPI
Mary Jensen
Developmental Disabilities Clinic/Center · Lecanto, FL
Practice location
3070 W Cardinal St
Lecanto, FL 34461-9539
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.).
Another provider at this address
About NPI 1356859672
Mary Jensen's National Provider Identifier is 1356859672, issued on Jan 22, 2018. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Lecanto, FL. The record was last updated on Jan 22, 2018.