Individual provider · Type 1 NPI
Lisa Queenester Maroney
Developmental Disabilities Clinic/Center · Fort Worth, TX
Practice location
320 Autumn Park
Fort Worth, TX 76140-6524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Foster Care Agency | 253J00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | 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.).
Another provider at this address
About NPI 1588801351
Lisa Queenester Maroney's National Provider Identifier is 1588801351, issued on Jan 15, 2009. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 15, 2009.