Individual provider · Type 1 NPI

Chelsea Bascome

Developmental Disabilities Clinic/Center · Orange Park, FL

NPI number 1447722889 Active

Practice location

3138 White Heron Trl
Orange Park, FL 32073-1645

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.).

About NPI 1447722889

Chelsea Bascome's National Provider Identifier is 1447722889, issued on Dec 25, 2018. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Orange Park, FL. The record was last updated on Dec 25, 2018.