Individual provider · Type 1 NPI

Lisa Upshaw Fuente

Developmental Therapist · Safety Harbor, FL

NPI number 1780987529 Active

Practice location

140 12th Ave N
Safety Harbor, FL 34695-3420

Call (631) 561-8709 Map

Other practice locations

3670 Sinclair Shores Rd, Cumming, GA 30041-5411 · (631) 561-8709

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
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 1780987529

Lisa Upshaw Fuente's National Provider Identifier is 1780987529, issued on Dec 17, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Safety Harbor, FL. The record was last updated on Aug 14, 2026.