Individual provider · Type 1 NPI

Mary Magdalene Christine Leach

Developmental Therapist · Jacksonville, FL

NPI number 1710315262 Active

Practice location

6867 Southpoint Dr N, Suite 106
Jacksonville, FL 32216-8043

Call (904) 619-6071 Map

Fax (904) 212-0309

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1710315262

Mary Magdalene Christine Leach's National Provider Identifier is 1710315262, issued on Oct 21, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 21, 2013.