Individual provider · Type 1 NPI
Jessica Marie Bastian
Developmental Disabilities Clinic/Center · Leesburg, FL
Practice location
1704 W Main St
Leesburg, FL 34748-4861
Mailing address
PO Box 43
Tavares, FL 32778-0043
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.).
Other developmental disabilities clinic/center providers in Leesburg
About NPI 1518596030
Jessica Marie Bastian's National Provider Identifier is 1518596030, issued on Apr 6, 2020. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Leesburg, FL. The record was last updated on Apr 6, 2020.