Individual provider · Type 1 NPI
Wanda Mayberry
Developmental Disabilities Clinic/Center · Keystone Heights, FL
Practice location
1445 S Lawrence Blvd
Keystone Heights, FL 32656-9349
Fax (888) 213-4424
Mailing address
PO Box 82
Keystone Heights, FL 32656-0082
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.).
About NPI 1497206189
Wanda Mayberry's National Provider Identifier is 1497206189, issued on Oct 18, 2016. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Keystone Heights, FL. The record was last updated on Nov 2, 2016.