Individual provider · Type 1 NPI
Mary Fleck-Jackson
Developmental Therapist · Land O Lakes, FL
Practice location
4334 Beaumaris Dr
Land O Lakes, FL 34638-7780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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 1770788952
Mary Fleck-Jackson's National Provider Identifier is 1770788952, issued on Jun 18, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Land O Lakes, FL. The record was last updated on Jul 8, 2007.