Individual provider · Type 1 NPI

Mary Ellen Deloache, M.ED.

Developmental Therapist · St. Petersburg, FL

NPI number 1457404980 Active

Practice location

801 6th St S, Dept 7470
St. Petersburg, FL 33701-4816

Call (727) 767-6726 Map

Fax (727) 767-4715

Mailing address

4623 Alisa Cir NE
St. Petersburg, FL 33703-4371

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1457404980

Mary Ellen Deloache, M.ED.'s National Provider Identifier is 1457404980, issued on Jan 19, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 11, 2025.