Individual provider · Type 1 NPI

Tiffany Losius

Developmental Disabilities Clinic/Center · Port St. Lucie, FL

NPI number 1780197749 Active

Practice location

2065 SE Lennard Rd Apt 105
Port St. Lucie, FL 34952-4752

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone 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 1780197749

Tiffany Losius's National Provider Identifier is 1780197749, issued on Nov 13, 2017. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Port St. Lucie, FL. The record was last updated on Nov 13, 2017.