Individual provider · Type 1 NPI
Richard Longstreet
Developmental Disabilities Clinic/Center · Tampa, FL
Practice location
7369 Bonita Vista Way Apt 202
Tampa, FL 33617-8697
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.).
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About NPI 1669169918
Richard Longstreet's National Provider Identifier is 1669169918, issued on Apr 18, 2023. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Tampa, FL. The record was last updated on Apr 18, 2023.