Individual provider · Type 1 NPI
Johnetta Heningburg
Developmental Disabilities Clinic/Center · Mobile, AL
Practice location
5307 Forest Oaks Dr S
Mobile, AL 36618-2415
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.).
Another provider at this address
About NPI 1700608528
Johnetta Heningburg's National Provider Identifier is 1700608528, issued on Oct 31, 2024. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Mobile, AL. The record was last updated on Oct 31, 2024.