Individual provider · Type 1 NPI

Cleo Wyllie

Developmental Disabilities Clinic/Center · Palm Bay, FL

NPI number 1417483470 Active

Practice location

163 Haines Rd SW
Palm Bay, FL 32908-1338

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 1417483470

Cleo Wyllie's National Provider Identifier is 1417483470, issued on May 11, 2017. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Palm Bay, FL. The record was last updated on May 11, 2017.